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
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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