| 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 |