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Organization
MEDICATION ASSISTED TREATMENT CENTERS LLC
Active
Organization
MEDICATION ASSISTED TREATMENT CENTERS LLC
Active
Other names
MEDICATION ASSISTED RECOVERY CENTERS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN K COOPER (MANAGER)
(318) 446-0231
Entity
Organization
Contact information
Practice address
3030 JACKSON ST, ALEXANDRIA, LA 71301-4743
(318) 625-7111
(318) 625-7111
Mailing address
PO BOX 13566, ALEXANDRIA, LA 71315-3566
(318) 446-0231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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