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Organization
MAYNARD FIRM LLC
Active
Organization
MAYNARD FIRM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEVON MAURICE WATSON (CEO)
(323) 633-9766
Entity
Organization
Contact information
Practice address
3680 WILSHIRE BLVD # P04-1025, LOS ANGELES, CA 90010-2707
(323) 633-9766
Mailing address
3680 WILSHIRE BLVD # P04-1025, LOS ANGELES, CA 90010-2707
(323) 633-9766
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QB0400X
Birthing Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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