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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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2251S00000XCommunity/Behavioral Health Agency
3261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1477869089
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 : 615-861-6000
Fax Number : 877-552-0439
Provider Business Practice Location Address
First Line : 1737 LINWOOD BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-5037
Country : US
Telephone Number : 405-239-6815
Fax Number : 405-239-2637
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 08/20/2010
Last Update Date : 01/12/2026

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

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