Organization
GLASS HEALTH PROGRAMS, INC.
Active
Other names
MedMark Treatment Centers - Belcamp
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1361 BRASS MILL RD, SUITE A, BEL CAMP, MD 21017
(410) 273-9700
(410) 273-9713
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101202
MD
261QM2800X
Methadone Clinic
—
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019661780001
—
PA
05
—
39191306
—
MD
05
—
403453800
—
MD
01
—
905637
LICENSE
MD
Enumeration date
06/19/2012
Last updated
07/29/2024
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