A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI Number | 1891338661 |
| LBN Legal business name | MISSION FIELD LLC |
| Authorized official | EDWARD TUCKER - (PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/23/2019 |
| Last updated | 04/16/2021 - About 5 years ago |
| Identifiers | n/a |
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MISSION FIELD LLC
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