| Medication Assisted Recovery Centers Llc | |
|
3030 Jackson St Alexandria LA 71301-4743 | |
| (318) 625-7111 | |
| (318) 625-7111 |
| Full Name | Medication Assisted Recovery Centers Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3030 Jackson St, Alexandria, Louisiana |
| Authorized Official Name and Position | Benjamin K Cooper (MANAGER) |
| Authorized Official Contact | 3184460231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medication Assisted Recovery Centers Llc Po Box 13566 Alexandria LA 71315-3566 Ph: (318) 446-0231 | Medication Assisted Recovery Centers Llc 3030 Jackson St Alexandria LA 71301-4743 Ph: (318) 625-7111 |
| NPI Number | 1134628654 |
|---|---|
| Provider Enumeration Date | 02/10/2018 |
| Last Update Date | 02/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134628654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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