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Organization
ABSOLUTE MENTAL HEALTH CLINIC LLC
Active
Organization
ABSOLUTE MENTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMO DE LA CRUZ BA-MA-QMHP (CHIEF DIRECTOR)
(571) 572-0050
Entity
Organization
Contact information
Practice address
1930 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(571) 398-2758
(888) 315-4281
Mailing address
1930 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(571) 572-0050
(888) 315-4281
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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