person
Mr. Maximo De La Cruz, QMHP-A-MA
Adolescent and Children Mental Health Clinic/Center in Manassas, Virginia
NPI 1043875248

Maximo De La Cruz is an Adolescent and Children Mental Health Clinic/Center based in Stafford, VA and is specialized in Adolescent and Children Mental Health. Maximo De La Cruz practices in Manassas, VA and has the professional credentials of QMHP-A-MA. The NPI Number for Maximo De La Cruz is 1043875248 and holds a License No. 3329 (Virginia).

The current practice location address for Maximo De La Cruz is 7530 Diplomat Dr Ste 101, Manassas, VA and can be reached out via phone at 571-572-0050 and via fax at 888-315-4281.

Location: 7530 Diplomat Dr Ste 101, Manassas, VA, 22554-1566
person
Provider Profile Details
NPI Number
1043875248
Provider Name
Maximo De La Cruz
Credential
QMHP-A-MA
Provider Entity Type
Individual
Gender
Male
Address
7530 Diplomat Dr Ste 101, Manassas, VA, 22554-1566
Phone Number
571-572-0050
Fax Number
888-315-4281
Provider Enumeration Date
05/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7530 Diplomat Dr Ste 101
City
State
Zip
20109-2682
Phone Number
571-572-0050
Fax Number
888-315-4281
person
Provider Business Mailing Address Details
Address
7530 Diplomat Dr Ste 101
City
State
Zip
20109-2682
Phone Number
571-572-0050
Fax Number
888-315-4281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
3329 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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