Organization
MAXIMA GROUP BEHAVIORAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON L LEE (CEO/OWNER)
(985) 795-1704
Entity
Organization
Contact information
Practice address
1001 15TH AVE, FRANKLINTON, LA 70438-2101
(985) 795-1704
(985) 795-1706
Mailing address
1001 15TH AVE, FRANKLINTON, LA 70438-2101
(985) 795-1704
(985) 795-1706
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PCA 10713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477443
—
LA
Enumeration date
12/12/2007
Last updated
12/12/2007
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