Organization
MAXIMA GROUP BEHAVIORAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON LEE (CEO)
(504) 452-8847
Entity
Organization
Contact information
Practice address
1001 15TH AVE, FRANKLINTON, LA 70438-2101
(504) 227-9998
Mailing address
PO BOX 1315, MARRERO, LA 70073-1315
(504) 227-9998
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1477443
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271857001
—
LA
Enumeration date
03/11/2011
Last updated
03/11/2011
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