| NPI | 1053069294 |
|---|---|
| Doing Business As | MAX BEHAVIORAL HEALTH OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | IRENE BASIL MASEVERIYO Manager 331-803-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |