NPI:
1700244415
Provider Name:
COLUMBUS ADDICTION ASSOCIATES, LLC
Doing Business As: MEDMARK TREATMENT CENTERS COLUMBUS NORTH
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 11D2069285
Address:
5617 PRINCETON AVE
SUITE B
COLUMBUS, GA
ZIP 31904
Phone:
(706) 257-7722
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COLUMBUS ADDICTION ASSOCIATES, LLC is a rehabilitation and substance use disorder clinic center in Columbus, GA. COLUMBUS ADDICTION ASSOCIATES, LLC NPI is 1700244415. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Columbus North.
The provider's business location address is:
5617 PRINCETON AVE
SUITE B
COLUMBUS, GA
ZIP 31904-480
Phone: (706) 257-7722
Fax: (706) 257-7723
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 11D2069285 - other - narotic treatment program with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/13/2024.