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NPI Code Detail

MEDICARE: MISSION TREATMENT CENTERS, INC.

MEDICARE: MISSION TREATMENT CENTERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2324500000XSubstance Abuse Rehabilitation Facility
3261QM2800XMethadone Clinic

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154637429
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSION TREATMENT CENTERS, INC.
Provider Business Mailing Address
First Line : PO BOX 682669
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-2669
Country : US
Telephone Number : 760-710-0819
Fax Number :
Provider Business Practice Location Address
First Line : 1536 N BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4120
Country : US
Telephone Number : 702-558-8600
Fax Number : 702-558-8700
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-716-9335
Provider Enumeration Date : 08/25/2010
Last Update Date : 01/12/2026

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Directions to “MISSION TREATMENT CENTERS, INC. ” Practice Location

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