| Old Pueblo Community Services | |
|
7030 E Broadway Blvd Ste 250 Tucson AZ 85710-2829 | |
| (520) 909-4425 | |
| Not Available |
| Full Name | Old Pueblo Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7030 E Broadway Blvd Ste 250, Tucson, Arizona |
| Authorized Official Name and Position | Thomas Michael Litwicki (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5209094425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Pueblo Community Services 4501 E 5th St Tucson AZ 85711-7015 Ph: (520) 909-4425 | Old Pueblo Community Services 7030 E Broadway Blvd Ste 250 Tucson AZ 85710-2829 Ph: (520) 909-4425 |
| NPI Number | 1184866428 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184866428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3168 (Arizona) | Primary |
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