NPI | 1992311815 |
---|---|
Doing Business As | AZUL CENTER FOR INTEGRATION |
Entity Type | Organization |
Authorized Contact | MARIA CARMEN COVARRUBIAS CEO/Clinical Director 559-313-5177 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-16 |