Organization
COLUMBUS ADDICTION ASSOCIATES, LLC
Active
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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