MMACS was a department, division, or position within Starfleet's Fleet Operations Center on Earth.
In January of 2155, Starfleet officer M. Okuda worked in (or as) MMACS. (ENT: "Demons" set artwork)
MMACS was seen on directory listings seen on the set of "Demons".
, like many of the other divisions, departments, or positions on the listing, is a reference to NASA
terminology, in this case, the "Mechanical, Maintenance, Arm, and Crew Systems".