| NPI | 1255047759 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS MORGANTOWN |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 164W00000X Licensed Practical Nurse | |
| 175T00000X Peer Specialist | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2024-07-29 |