Organization
MAXIMO DELACRUZ CENTRO D SALUD MENTAL LLC
Active
Other names
MAXIMO Delacruz Centro D Salud Mental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMO DE LA CRUZ BA-MA (OWNER/DIRECTOR)
(571) 572-0050
Entity
Organization
Contact information
Practice address
31 ONTELL CT, STAFFORD, VA 22554-1566
(571) 572-0050
(888) 315-4281
Mailing address
31 ONTELL CT, STAFFORD, VA 22554-1566
(571) 572-0050
(888) 315-4281
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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