Organization
AUGUSTA ADDICTION ASSOCIATES
Active
Parent organization
MEDMARK ATREATMENT CENTERS OF GEORGIA
Other names
Medmark Treatment Centers Savannah
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDMARK ATREATMENT CENTERS OF GEORGIA
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
600 COMMERCIAL CT, SUITE A, SAVANNAH, GA 31406-3674
(912) 352-4357
(912) 352-4395
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(148) 539-0182
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
GA10135-M
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NTP001069
OTP LICENSE
GA
Enumeration date
11/11/2011
Last updated
07/29/2024
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