Matt Program
LBN: Medication Assisted Treatment Technologies, Inc
Matt Program is an health care organization with primary practice located at 1361 Brass Mill Road Bldg. A, Belcamp MD 21017-1213. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Medication Assisted Treatment Technologies, Inc can be contacted via phone (410) 273-9700, or through Smith, J. Charles via phone (410) 322-6575.
Contact Information
Primary practice address
1361 Brass Mill Road Bldg. A
Belcamp MD 21017-1213
Phone: (410) 273-9700
Fax: (410) 273-9713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 101202 | Maryland |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 101202 | Maryland |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 12234 | Maryland |
Profile Details
| NPI number | 1295724656 |
|---|---|
| LBN Legal business name | Medication Assisted Treatment Technologies, Inc |
| DBA Doing business as | Matt Program |
| Authorized official | Smith, J. Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Dec 1st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295724656 | NPPES |
| Pennsylvania | MEDICAID | 0019661780001 | |
| Pennsylvania | MEDICAID | 4034538-00 | |
| Pennsylvania | MEDICAID | 403453800 |
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