NPI:
1477041143
Provider Name:
MEDMARK TREATMENT CENTERS OF GEORGIA, INC
Doing Business As: MEDMARK TREATMENT CENTERS CHATSWORTH
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 11D2147195
Address:
1289 GI MADDOX PKWY
CHATSWORTH, GA
ZIP 30705
Phone:
(706) 971-3366
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MEDMARK TREATMENT CENTERS OF GEORGIA, INC is a rehabilitation and substance use disorder clinic center in Chatsworth, GA. MEDMARK TREATMENT CENTERS OF GEORGIA, INC NPI is 1477041143. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Chatsworth.
The provider's business location address is:
1289 GI MADDOX PKWY
CHATSWORTH, GA
ZIP 30705-069
Phone: (706) 971-3366
Fax: (214) 550-2635
The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.
The CLIA number assigned to this NPI record is 11D2147195 - other - narcotic treatment prog with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/27/2018 and was last updated on 2/13/2024.