Provider Demographics
NPI:1467854786
Name:MAXIM STAFFING SOLUTIONS
Entity Type:Organization
Organization Name:MAXIM STAFFING SOLUTIONS
Other - Org Name:MAXIM STAFFING SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MHT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:VANOS
Authorized Official - Suffix:II
Authorized Official - Credentials:MSW
Authorized Official - Phone:303-322-7108
Mailing Address - Street 1:4500 E CHERRY CREEK SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1518
Mailing Address - Country:US
Mailing Address - Phone:303-322-7108
Mailing Address - Fax:303-322-9989
Practice Address - Street 1:4500 E CHERRY CREEK SOUTH DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1518
Practice Address - Country:US
Practice Address - Phone:303-322-7108
Practice Address - Fax:303-322-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness