| NPI | 1770781106 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1000027) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 1000027) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2024-07-29 |