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Organization

MAXIM HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN TWIGGER (ACCOUNTS MANAGER)
(760) 438-0078
Entity
Organization

Contact information

Practice address
5838 EDISON PL STE 120, CARLSBAD, CA 92008-5520
(760) 438-0078
Mailing address
5838 EDISON PL STE 120, CARLSBAD, CA 92008-5520
(760) 438-0078

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1990151

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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