Organization
GLASS HEALTH PROGRAMS, INC.
Active
Other names
MedMark Treatment Centers - Essex
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
8909 KELSO DR, ESSEX, MD 21221-3113
(410) 486-2500
(410) 780-8686
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
905602
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
904656
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03919103
—
MD
01
—
905602
DHMH
MD
Enumeration date
04/10/2012
Last updated
07/29/2024
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