Organization
CHAMPAIGN TREATMENT CENTER, LLC
Active
Organization
CHAMPAIGN TREATMENT CENTER, LLC
Active
Other names
MedMark Treatment Centers Champaign
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
106 S COUNTRY FAIR DR STE C, CHAMPAIGN, IL 61821-3064
(217) 373-8200
Mailing address
106 S COUNTRY FAIR DR, SUITE C, CHAMPAIGN, IL 61821-3063
(217) 373-8200
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
07/31/2026
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