Maxim Healthcare Services INC.
Community/Behavioral Health in Mountlake Terrace, WA. Organization (NPI-2).
NPI number1477051993
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1477051993
- Entity type
- Organization (NPI-2)
- Legal business name
- Maxim Healthcare Services INC.
- Organization subpart
- No
- Enumeration date
- Jan 30, 2018
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
6100 219th St Sw Ste 500Mountlake Terrace, WA 98043-2222
Phone 425-245-9940
Mailing address
7227 Lee Deforest DrColumbia, MD 21046-3236
Phone 410-910-1578
Authorized official
David Kowalczyk
Controller
4109101500
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