Organization
SPRINGFIELD TREATMENT CENTER, LLC
Active
Other names
MedMark Treatment Centers Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1227 S 9TH ST, SPRINGFIELD, IL 62703-2524
(217) 679-1406
(217) 679-1545
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/03/2020
Last updated
07/29/2024
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