| Organization Name: | MAXUS, INC. |
| NPI Number: | 1639351455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY ANN TROUTMAN (BILLING SUPERVISOR) |
| Mailing Address: | 185 S Front Ave Piggott |
| State: | AR US |
| Postal Code: | 724542637 |
| Phone Number: | 8705985100 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 12/04/2007 |
| 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: | |