Organization
MEDMARK TREATMENT CENTERS OF GEORGIA, INC.
Active
Other names
MedMark Treatment Centers Chatsworth
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1289 GI MADDOX PKWY, CHATSWORTH, GA 30705-2069
(706) 971-3366
(214) 550-2635
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
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
09/12/2025
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