| NPI | 1194104141 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS ROSWELL |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NM CL00010987) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-07-29 |