Organization
MISSION TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC LEWISON (OWNER/PRESIDENT)
(619) 818-8106
Entity
Organization
Contact information
Practice address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 474-4104
(702) 474-4108
Mailing address
7371 PRAIRIE FALCON RD STE 110, LAS VEGAS, NV 89128-0834
(619) 818-8106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20071612296
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326354697
—
NV
Enumeration date
03/27/2014
Last updated
01/28/2019
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