Organization
MAXIM HABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY SMITH (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
2405 N HERRITAGE ST, SUITE F, KINSTON, NC 28501-1637
(252) 527-7141
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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