Organization
HIDDEN PARADOX, LLC
Active
Other names
A Living Room On Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MILLER-POTTER MA,LASAC,CCTP,ADC (CEO)
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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