Organization
AZURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA ANN WARREN (PRESIDENT)
(202) 309-0497
Entity
Organization
Contact information
Practice address
1490 BANGOR ST SE, WASHINGTON, DC 20020-4915
(202) 248-3898
(202) 248-4610
Mailing address
5412 2ND ST NW, WASHINGTON, DC 20011-6624
(202) 722-2791
(202) 248-0429
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HFD12-0054
DC
Other
Enumeration date
03/19/2007
Last updated
07/10/2008
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