NPI | 1194615732 |
---|---|
Doing Business As | MISSION LIFE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | KEITH MEDLOCK Chief Executive Officer 501-370-0808 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-07-07 |