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29D2121330 CLIA NUMBER - MISSION TREATMENT CENTERS INC-LAS VEGAS

Laboratory Demographics

CLIA Number: 29D2121330

Facility Name: MISSION TREATMENT CENTERS INC-LAS VEGAS

Facility Address:
2887 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89109
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Facility Phone Number: 702 474-4104

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver
NPI Number: 1245719335

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 29D2121330
LAB Type Comp. Outpatient Rehab Facility
Facility Name MISSION TREATMENT CENTERS INC-LAS VEGAS
Street 2887 S MARYLAND PKWY
City LAS VEGAS
State NV
ZIP 89109
Phone 702 474-4104
CertificateType 4
CertificateEffectiveDate 11/2/2022
CertificateExpirationDate 11/1/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024