Organization
TUCSON TRANSITIONAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEISHA ZAFFUTO (BUSINESS MANAGER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
1309 N VENICE AVE, TUCSON, AZ 85712-3935
(954) 746-8232
(954) 746-8981
Mailing address
1900 W SAGE ST, TUCSON, AZ 85704-2264
(954) 746-8232
(954) 746-8981
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2042651
CLIA LICENSE
AZ
Enumeration date
10/18/2012
Last updated
06/30/2014
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