Organization
MEDMARK TREATMENT CENTERS - FRESNO WEST, INC.
Active
Parent organization
MEDMARK SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDMARK SERVICES, INC
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1310 M STREET, FRESNO, CA 93721-1808
(559) 264-2700
(559) 264-2767
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
PENDING
CA
261QM2800X
Methadone Clinic
Primary
10-06
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-97
—
CA
Enumeration date
05/09/2007
Last updated
07/29/2024
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