Organization
COLUMBUS ADDICTION ASSOCIATES, LLC
Active
Other names
MedMark Treatment Centers Columbus North
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
5617 PRINCETON AVE, SUITE B, COLUMBUS, GA 31904-3480
(706) 257-7722
(706) 257-7723
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
GA-10141-M
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
07/29/2024
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