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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