Organization
MAXWELL ALTERNATIVE RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYAL BETTIS MAXWELL (PRESIDENT)
(334) 724-9856
Entity
Organization
Contact information
Practice address
104 GAUTIER ST, TUSKEGEE, AL 36083-2645
(334) 226-1454
(404) 745-0498
Mailing address
PO BOX 830208, TUSKEGEE, AL 36083-0208
(334) 552-0026
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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