# ABSOLUTE MENTAL HEALTH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861369977
- **Authorized official:** MR. MAXIMO DE LA CRUZ BA-MA-QMHP (CHIEF DIRECTOR)
- **Authorized official phone:** (571) 572-0050

## Contact information

- **Practice address:** 1930 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
- **Practice address phone:** (571) 398-2758
- **Practice address fax:** (888) 315-4281
- **Mailing address:** 1930 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
- **Mailing address phone:** (571) 572-0050
- **Mailing address fax:** (888) 315-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/22/2025
- **Last updated:** 10/22/2025