| NPI | 1902304447 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS BLOOMINGTON |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-07-29 |