Search › Georgia › 101YA0400X
Jose Delacruz, CADC-II
NPI 1750706313 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1990 Old Parker Rd Se
Suite 100
Conyers, GA 30094 - Phone
- (678) 913-3255
- Fax
- (404) 975-4376
- Organisation at this address
- Platinum Wellness Retreat & Spa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia