Organization
MAXIM HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLAIN SCHULMAN (PROGRAM SUPERVIOSOR)
(760) 438-0078
Entity
Organization
Contact information
Practice address
5838 EDISON PL, CARLSBAD, CA 92008-5520
(760) 438-0078
Mailing address
5838 EDISON PL, CARLSBAD, CA 92008-5520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-6536
CA
Other
Enumeration date
08/15/2013
Last updated
09/03/2013
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