| Organization Name: | MAXUS |
| NPI Number: | 1003931189 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TED SHUL (CEO) |
| Mailing Address: | 3009 Turman Dr Suite A Jonesboro |
| State: | AR US |
| Postal Code: | 724048998 |
| Phone Number: | 8702688875 |
| Fax Number: | 8702688695 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |