Provider Demographics
NPI:1811603871
Name:MAAT-PROS
Entity type:Organization
Organization Name:MAAT-PROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SAJADA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-496-5059
Mailing Address - Street 1:10 FERRIS ST APT 308
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2999
Mailing Address - Country:US
Mailing Address - Phone:718-496-5059
Mailing Address - Fax:
Practice Address - Street 1:10 FERRIS ST APT 308
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-2999
Practice Address - Country:US
Practice Address - Phone:718-496-5059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care