DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
1261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1912509928
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 : 2887 S MARYLAND PARKWAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1511
Country : US
Telephone Number : 702-474-4104
Fax Number : 702-474-4108
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 11/13/2020
Last Update Date : 01/12/2026

Similar Medicare Providers

1326354697 — MISSION TREATMENT CENTERS, INC.
Practice Location Address:
2887 S MARYLAND PARKWAY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-474-4104
Practice Fax: 702-474-4108
1962829945 — MISSION TREATMENT CENTERS
Practice Location Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-474-4104
Practice Fax: 702-474-4108
1548662489 — SARAI VASQUEZ LPN
Practice Location Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-474-4104
Practice Fax: 702-474-4108
1851794622 — MR. PATRICK JAMES MCCULLAGH
Practice Location Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-474-4104
Practice Fax:
1598129363 — ESSIE WEBB
Practice Location Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-840-3586
Practice Fax:
1457833980 — NATALIE JOHNSON
Practice Location Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
89109-1511
Practice Phone: 702-474-4104
Practice Fax: 702-474-4108

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

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.