| Mission Treatment Centers, Inc. | |
|
948 W Hefner Rd Oklahoma City OK 73114-6927 | |
| (405) 286-9533 | |
| Not Available |
| Full Name | Mission Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 948 W Hefner Rd, Oklahoma City, Oklahoma |
| 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. 948 W Hefner Rd Oklahoma City OK 73114-6927 Ph: (405) 286-9533 |
| NPI Number | 1255854725 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3072948140 |
|---|---|
| Medicare Enrollment ID | O20200210001877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255854725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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