Organization · Type 2 NPI
Medmark Treatment Centers - Stockton, Inc.
Methadone Clinic · Stockton, CA
NPI number
1851453500
Active
Practice location
1111 N El Dorado Street
Stockton, CA 95202-1305
Fax (209) 938-0281
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 39-07 (CA) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Other methadone clinic providers in Stockton
About NPI 1851453500
Medmark Treatment Centers - Stockton, Inc.'s National Provider Identifier is 1851453500, issued on Dec 15, 2006. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Stockton, CA. The record was last updated on Jul 29, 2024.