# MAOAC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730663923
- **Authorized official:** CASSY BRATCHER (OFFICE MANAGER)
- **Authorized official phone:** (317) 213-6762

## Contact information

- **Practice address:** 8856 SOUTH ST, FISHERS, IN 46038-2911
- **Practice address phone:** (317) 516-1177
- **Practice address fax:** (317) 516-5128
- **Mailing address:** 8856 SOUTH ST, FISHERS, IN 46038-2911
- **Mailing address phone:** (317) 516-1177
- **Mailing address fax:** (317) 516-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018