Provider Demographics
NPI:1457759763
Name:MAXIM STAFFING COMPANY
Entity type:Organization
Organization Name:MAXIM STAFFING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MHT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-883-5192
Mailing Address - Street 1:PO BOX 3632
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80161
Mailing Address - Country:US
Mailing Address - Phone:720-883-5192
Mailing Address - Fax:
Practice Address - Street 1:4500 CHERRY CREEK SOUTH DRIVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:720-883-5192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health