Organization
A LIVING ROOM ON BROADWAY, PLLC
Active
Organization
A LIVING ROOM ON BROADWAY, PLLC
Active
Other names
A Living Room On Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MILLER-POTTER MA, LASAC, CCTP, ADC (EMPLOYEE)
(520) 954-5454
Entity
Organization
Contact information
Practice address
4144 E BROADWAY BLVD, TUCSON, AZ 85711-3455
(520) 954-5454
Mailing address
4144 E BROADWAY BLVD, TUCSON, AZ 85711-3455
(520) 954-5454
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
10/18/2019
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