OrganizationActive
Addiction Research and Treatment, Inc
NPI 1679062434 · Substance Use Disorder Rehabilitation Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1679062434
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Practice location
11900 Avalon Blvd Ste 200&201
Los Angeles, CA 90061-2866
Phone: (214) 379-3398
Fax: (214) 550-2635
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Other names (DBA / former)
- Doing business as
- Medmark Treatment Centers Los Angeles
Registry dates
- Enumerated
- 2018-05-08
- 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.