Organization
BAYMARK HEALTH SERVICES OF OHIO, INC.
Active
Other names
MedMark Treatment Centers Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1521 WALMART DR STE 901, LEBANON, OH 45036-8359
(513) 331-7034
(513) 331-7035
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
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
07/29/2024
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