Provider Demographics
NPI:1457013625
Name:MAXIMUM COMMUNITY CARE LLC
Entity Type:Organization
Organization Name:MAXIMUM COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKWUDERA
Authorized Official - Middle Name:
Authorized Official - Last Name:EGESIONU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-422-4373
Mailing Address - Street 1:134 EVERGREEN PL STE 901
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2012
Mailing Address - Country:US
Mailing Address - Phone:862-930-8658
Mailing Address - Fax:
Practice Address - Street 1:134 EVERGREEN PL STE 901
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2012
Practice Address - Country:US
Practice Address - Phone:862-930-8658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty