Organization
OLD PUEBLO COMMUNITY SERVICES
Active
Organization
OLD PUEBLO COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL LITWICKI M.ED, LISAC (CLINICAL DIRECTOR)
(520) 909-4425
Entity
Organization
Contact information
Practice address
7030 E BROADWAY BLVD STE 250, TUCSON, AZ 85710-2829
(520) 909-4425
Mailing address
4501 E 5TH ST, TUCSON, AZ 85711-7015
(520) 909-4425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3168
AZ
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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