Organization
AZUL COMMUNITY CENTER
Active
Other names
Azul Community Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA A DE LA CRUZ LCSW, BCBA (PRESIDENT)
(305) 418-0608
Entity
Organization
Contact information
Practice address
10535 SW 124TH RD, MIAMI, FL 33186-3649
(305) 418-0608
(305) 418-0609
Mailing address
10535 SW 124TH RD, MIAMI, FL 33186-3649
(305) 418-0608
(305) 418-0609
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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