| Mission Treatment Centers, Inc. | |
|
1536 N. Boulder Highway Henderson NV 89011 | |
| (702) 558-8600 | |
| (702) 558-8700 |
| Full Name | Mission Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1536 N. Boulder Highway, Henderson, Nevada |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 Highway Henderson NV 89011 Ph: (702) 558-8600 |
| NPI Number | 1154748127 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154748127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20071612296 (Nevada) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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