Organization
MAXIM HABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SMITH (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
5510 SIX FORKS RD., SUITE 125, RALEIGH, NC 27609
(919) 676-7990
Mailing address
7227 LEE DEFOREST DR., COLUMBIA, MD 21046
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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