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Champaign Treatment Center, LLC — NPI 1033460498, Champaign, IL | NPI Central

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NPI 1033460498

OrganizationActive

Champaign Treatment Center, LLC

NPI 1033460498 · Methadone Clinic · Champaign, IL

Provider details

NPI number: 1033460498
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Bruce Jarvie, Vp, Treasurer(214) 379-3300

Specialties & taxonomies

Methadone ClinicPrimary261QM2800X
Ambulatory Health Care Facilities
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Ambulatory Health Care Facilities

Practice location

106 S Country Fair Dr Ste C

Champaign, IL 61821-3064

Phone: (217) 373-8200

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

106 S Country Fair Dr

Champaign, IL 61821-3063

Other names (DBA / former)

Doing business as: Medmark Treatment Centers Champaign

Registry dates

Enumerated: 2012-09-26
Last updated: 2024-07-29
Certified: 2024-07-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.