Union Rescue Mission Incorporated

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

UNION RESCUE MISSION INCORPORATED

Doing business as

Mission Life Treatment Center

Practice address

3001 Springer Blvd
Little Rock, AR 72206-3313

Phone

(501) 370-0808

Fax

(501) 370-0808

NPI assigned

Jul 7, 2025

Organization subpart

Yes

Parent organization

UNION RESCUE MISSION INCORPORATEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith Medlock

Title

Chief Executive Officer

Phone

(501) 370-0808

Specialties & licenses 1

Addresses

Other names 1

• Mission Life Treatment Center Doing business as

Part of

Union Rescue Mission Incorporated

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1194615732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164057",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722164057",
            "telephone_number": "501-370-0808",
            "fax_number": "501-353-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SPRINGER BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722063313",
            "telephone_number": "501-370-0808",
            "fax_number": "501-370-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION RESCUE MISSION INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION RESCUE MISSION INCORPORATED",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "MEDLOCK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-370-0808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Life Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.