Organization
CENTER FOR LIFE SKILLS DEVELOPMENT, LLC
Active
Parent organization
CENTER FOR LIFE SKILLS DEVELOPMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR LIFE SKILLS DEVELOPMENT, LLC
Authorized official
MRS. ROBERTA ANN LEWUSZ M.C.,L.P.C. (CEO/CO-OWNER)
(520) 904-9701
Entity
Organization
Contact information
Practice address
1625 N ALVERNON WAY, TUCSON, AZ 85712-3369
(520) 546-1642
(520) 325-0436
Mailing address
2001 W. ORANGE GROVE ROAD, SUITE 612, TUCSON, AZ 85704
(520) 546-1642
(520) 325-0436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BH3833
AZ
251S00000X
Community/Behavioral Health Agency
BH3833
AZ
Other
Enumeration date
09/15/2011
Last updated
05/31/2016
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