Organization
GLASS HEALTH PROGRAMS, INC.
Active
Parent organization
MEDMARK SERVICES
Other names
MedMark Treatment Centers - Mt. Vernon
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDMARK SERVICES
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
817 N CALVERT ST FL 1, BALTIMORE, MD 21202-3705
(443) 290-6424
(410) 528-4509
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906184
MD DHMH
MD
Enumeration date
02/08/2016
Last updated
07/29/2024
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