Organization
PEORIA TREATMENT CENTER, LLC
Active
Organization
PEORIA TREATMENT CENTER, LLC
Active
Other names
MedMark Treatment Centers East Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611-3582
(877) 592-5901
(402) 592-5901
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/09/2013
Last updated
08/21/2026
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