Organization
MEDMARK TREATMENT CENTERS OF GEORGIA, INC.
Active
Parent organization
MEDMARK SERVICES,INC
Other names
Medmark Treatment Centers Columbus
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDMARK SERVICES,INC
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1301 WYNNTON CT, COLUMBUS, GA 31906-2140
(706) 576-4033
(706) 576-4230
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
0000000
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
NTO001011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NTP001011
NARCOTIC TREATMENT PROGRAM PERMIT
GA
Enumeration date
11/19/2013
Last updated
07/29/2024
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