| NPI | 1346671013 | 
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS SAN ANTONIO W MILITARY | 
| Entity Type | Organization | 
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic | 
| Enumeration Date | 2013-12-06 | 
| Last Update Date | 2024-07-29 |