| Center For Life Skills Development Llc | |
|
2001 W. Orange Grove Road, Suite 604 Tucson AZ 85704 | |
| (520) 904-9701 | |
| (520) 544-3033 |
| Full Name | Center For Life Skills Development Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2001 W. Orange Grove Road, Suite 604, Tucson, Arizona |
| Authorized Official Name and Position | Roberta Ann Lewusz (CEO/CO-OWNER) |
| Authorized Official Contact | 5209049701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Life Skills Development Llc 2001 W Orange Grove Rd Ste 612 Tucson AZ 85704-1141 Ph: (520) 904-9701 | Center For Life Skills Development Llc 2001 W. Orange Grove Road, Suite 604 Tucson AZ 85704 Ph: (520) 904-9701 |
| NPI Number | 1366828725 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366828725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6315 (Arizona) | Primary |
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