Organization
MAXIMA GROUP BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON L LEE (CEO/OWNER)
(504) 227-9998
Entity
Organization
Contact information
Practice address
1901 WESTBANK EXPY, SUITE 600, HARVEY, LA 70058-4366
(504) 227-9998
(504) 227-0722
Mailing address
1901 WESTBANK EXPY, SUITE 600, HARVEY, LA 70058-4366
(504) 227-9998
(504) 227-0722
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PCA12506
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171891
—
LA
Enumeration date
12/04/2007
Last updated
12/04/2007
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