| Center For Life Skills Development, Llc | |
|
1625 N Alvernon Way Tucson AZ 85712-3369 | |
| (520) 546-1642 | |
| (520) 325-0436 |
| Full Name | Center For Life Skills Development, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1625 N Alvernon Way, 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 Road, Suite 612 Tucson AZ 85704 Ph: (520) 546-1642 | Center For Life Skills Development, Llc 1625 N Alvernon Way Tucson AZ 85712-3369 Ph: (520) 546-1642 |
| NPI Number | 1144502162 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144502162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | BH3833 (Arizona) | Primary |
| 251S00000X | Community/behavioral Health | BH3833 (Arizona) | Secondary |
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