| NPI | 1568060242 |
|---|---|
| Former Legal Business Name | AZUL COMMUNITY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | CECILIA A DE LA CRUZ President 305-418-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |