Organization
MAXIMA GROUP BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON LEE (CEO)
(985) 795-1704
Entity
Organization
Contact information
Practice address
1001 15TH STREET, 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
315P00000X
Intellectual Disabilities Intermediate Care Facility
PCA10713
LA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
SIL10710
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191612
—
LA
05
—
1463043
—
LA
05
—
1477443
—
LA
Enumeration date
05/04/2007
Last updated
08/22/2020
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