NPI | 1205607744 |
---|---|
Doing Business As | MAXIMO DELACRUZ CENTRO D SALUD MENTAL LLC |
Entity Type | Organization |
Authorized Contact | MAXIMO DE LA CRUZ Owner/Director 571-572-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |