JOSE DELACRUZ

CONYERS, GA
NPI1750706313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  478)
Enumeration Date2014-02-19
Last Update Date2014-02-19
Business Address
-- JOSE DELACRUZ CADC-II
1990 OLD PARKER RD SE SUITE 100
CONYERS, GA 30094-6239
Phone number: 678-913-3255
Mailing Address
-- JOSE DELACRUZ CADC-II
PO BOX 742531
RIVERDALE, GA 30274-1345
Phone number: 678-913-3255
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