| NPI | 1174096929 |
|---|---|
| Former Legal Business Name | MAXIMA GROUP BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CAROL SMITH Director 504-368-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |