Maximo Delacruz Centro D Salud Mental LLC

NPI #1205607744 in Stafford, Virginia

Provider Information

NPI Number: 1205607744
Entity Type: Organization
Organization Name: Maximo Delacruz Centro D Salud Mental LLC
Primary Specialty: Psychologist - Clinical Child & Adolescent
Enumeration Date: Jan 12, 2024
Last Updated: Jan 12, 2024

Practice Location

Address: 31 ONTELL CT
City: Stafford
State: Virginia
ZIP Code: 22554-1566
Phone: (571) 572-0050

Authorized Official

Name: MR. MAXIMO DE LA CRUZ, BA-MA
Title: OWNER/DIRECTOR
Phone: (571) 572-0050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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