| Organization Name: | MEDICATION ASSISTED TREATMENT TECHNOLOGIES, INC |
| NPI Number: | 1295724656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J. CHARLES SMITH (C.E.O., SPONSOR) |
| Mailing Address: | 1361 Brass Mill Road Bldg. A Belcamp |
| State: | MD US |
| Postal Code: | 210171213 |
| Phone Number: | 4102739700 |
| Fax Number: | 4102739713 |
| NPI Enumeration Date: | 10/18/2005 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2800X |
| License Number: | 101202 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Methadone Clinic |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |