# MEDICATION ASSISTED TREATMENT CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICATION ASSISTED RECOVERY CENTERS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134628654
- **Authorized official:** MR. BENJAMIN K COOPER (MANAGER)
- **Authorized official phone:** (318) 446-0231

## Contact information

- **Practice address:** 3030 JACKSON ST, ALEXANDRIA, LA 71301-4743
- **Practice address phone:** (318) 625-7111
- **Practice address fax:** (318) 625-7111
- **Mailing address:** PO BOX 13566, ALEXANDRIA, LA 71315-3566
- **Mailing address phone:** (318) 446-0231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 02/10/2018
- **Last updated:** 02/10/2018