| Mission Treatment Centers, Inc. | |
|
617 N.scottsdale Rd Ste. D Scottsdale AZ 85257 | |
| (480) 990-3720 | |
| (480) 990-8085 |
| Full Name | Mission Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 617 N.scottsdale Rd, Scottsdale, Arizona |
| 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. 617 N.scottsdale Rd Ste. D Scottsdale AZ 85257 Ph: (480) 990-3720 |
| NPI Number | 1700192077 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3072948140 |
|---|---|
| Medicare Enrollment ID | O20200210001645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700192077 | 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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