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Organization
MEDMARK TREATMENT CENTER FRESNO
Active
Organization
MEDMARK TREATMENT CENTER FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1310 M ST, FRESNO, CA 93721-1808
(559) 264-2700
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
VN258988
CA
Other
Enumeration date
02/15/2012
Last updated
07/29/2024
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