NPI | 1770913287 |
---|---|
Doing Business As | MEDMARK TREATMENT CENTERS COLUMBUS |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA NTO001011) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: GA 0000000) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2024-07-29 |