| Maxim Healthcare Services, Inc. | |
|
2600 Park Tower Dr Ste 200 Vienna VA 22180-7342 | |
| (703) 533-3131 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2600 Park Tower Dr Ste 200, Vienna, Virginia |
| Authorized Official Name and Position | David Kowalczyk (CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc. 7227 Lee Deforest Dr Columbia MD 21046-3236 Ph: () - | Maxim Healthcare Services, Inc. 2600 Park Tower Dr Ste 200 Vienna VA 22180-7342 Ph: (703) 533-3131 |
| NPI Number | 1255072468 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255072468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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