Organization
BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Active
Other names
MedMark Treatment Centers District of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
2112 F ST NW STE 102, WASHINGTON, DC 20037-2722
(202) 296-4455
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
07/29/2024
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