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Medmark Treatment Centers- Stockton, Inc
Methadone Clinic in Stockton, California
NPI 1851453500

Medmark Treatment Centers- Stockton, Inc is a Methadone Clinic based in Lewisville, CA and is specialized in Methadone. Medmark Treatment Centers- Stockton, Inc practices in Stockton, CA. The NPI Number for Medmark Treatment Centers- Stockton, Inc is 1851453500 and holds a License No. 39-07 (California).

The current practice location address for Medmark Treatment Centers- Stockton, Inc is 1111 N El Dorado Street, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281. You can also correspond with Medmark Treatment Centers- Stockton, Inc through the mailing address at 1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX - 75057-6425 (mailing address contact number: 214-379-3300).

Location: 1111 N El Dorado Street, Stockton, CA, 75057-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851453500
Provider Name
Medmark Treatment Centers- Stockton, Inc
Credential
Provider Entity Type
Organization
Address
1111 N El Dorado Street, Stockton, CA, 75057-6425
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
12/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48-AC 05 CA
48AC 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado Street
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado Street
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
39-07 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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