| Mission Treatment Services, Inc. | |
|
161 N Date St Escondido CA 92025-3405 | |
| (760) 745-7786 | |
| (760) 745-1061 |
| Full Name | Mission Treatment Services, Inc. |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 161 N Date St, Escondido, California |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Treatment Services, Inc. 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Mission Treatment Services, Inc. 161 N Date St Escondido CA 92025-3405 Ph: (760) 745-7786 |
| NPI Number | 1528288347 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528288347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37-17 (California) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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