NPI | 1326434390 |
---|---|
Doing Business As | MEDMARK TREATMENT CENTERS JACKSONVILLE |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X (Licence: FL 0416AD328501) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2015-04-07 |
Last Update Date | 2024-07-29 |