| NPI | 1952529711 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS - HAYWARD |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 01-98) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 01-93) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-07-29 |