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Contact Information

JOSE DELACRUZ, CADC-II
1990 OLD PARKER RD SE
SUITE 100
CONYERS, GA30094-6239
 Phone: 678-913-3255
 Fax: 404-975-4376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JOSE DELACRUZ · (Male)

NPI # 1750706313
Status Active
Credentials CADC-II
Entity Individual
Enumeration date 02/19/2014
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 478
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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