| Mission Treatment Centers, Inc. | |
|
1536 N Boulder Hwy Henderson NV 89011-4120 | |
| (702) 558-8600 | |
| (702) 558-8700 |
| Full Name | Mission Treatment Centers, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1536 N Boulder Hwy, Henderson, Nevada |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Treatment Centers, Inc. 6183 Paseo Del Norte, Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Mission Treatment Centers, Inc. 1536 N Boulder Hwy Henderson NV 89011-4120 Ph: (702) 558-8600 |
| NPI Number | 1154637429 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 3072948140 |
|---|---|
| Medicare Enrollment ID | O20200127000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154637429 | NPI | - | NPPES |
| 001702103 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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