Whalio Doctors

NPI 1295724656

Medication Assisted Treatment Technologies, INC

Organisation Methadone Clinic Belcamp, MD

Practice location

Address
1361 Brass Mill Road Bldg. a, Belcamp, MD 21017-1213
Phone
(410) 273-9700
Fax
(410) 273-9713

Authorised official

Name
J. Charles Smith
Title
C.E.O., Sponsor
Phone
(410) 322-6575

Registered specialties (3)

Methadone Clinic Primary
Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence 12234 (MD)
Specialist
Other Service Providers Taxonomy 174400000X Licence 101202 (MD)
Methadone Clinic
Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence 101202 (MD)

Registry record

NPI
1295724656
Entity type
Organization
NPI issued
18 Oct 2005
Record last updated
1 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.