Organization
MEDMARK TREATMENT CENTERS - SACRAMENTO, INC.
Active
Parent organization
MEDMARK SERVICES
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
7240 E SOUTHGATE DR, SUITES B, E, G, SACRAMENTO, CA 95823-2627
(916) 391-4293
(916) 391-4247
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 379-3324
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
34-09
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-09
OTP LICENSE
CA
01
—
9390237
MEDICAL
CA
Enumeration date
11/01/2006
Last updated
07/29/2024
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