Organization
MAXUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY ANN TROUTMAN (BILLING SUPERVISOR)
(870) 647-2541
Entity
Organization
Contact information
Practice address
416 EAST ANTIOCH, DELIGHT, AR 71940
(870) 379-3018
Mailing address
1033 OLD BURR RD, WARM SPRINGS, AR 72478
(870) 379-3018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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