Provider Demographics
NPI:1932242500
Name:MAAP INC
Entity Type:Organization
Organization Name:MAAP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-394-2320
Mailing Address - Street 1:3437 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-5145
Mailing Address - Country:US
Mailing Address - Phone:916-338-6835
Mailing Address - Fax:
Practice Address - Street 1:3437 MYRTLE AVE
Practice Address - Street 2:405
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-5145
Practice Address - Country:US
Practice Address - Phone:916-338-6835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA340004EN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health