NPI 1053965376

A Living Room on Broadway, PLLC

Organisation Substance Abuse Rehabilitation Facility Tucson, AZ

Practice location

Address: 4144 E Broadway Blvd, Tucson, AZ 85711-3455
Phone: (520) 954-5454

Authorised official

Name: Cynthia Miller-Potter
Title: Employee
Phone: (520) 954-5454

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1053965376
Entity type: Organization
NPI issued: 25 Jul 2019
Record last updated: 18 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.