| NPI | 1902449077 |
|---|---|
| Doing Business As | A LIVING ROOM ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MILLER-POTTER CEO 520-954-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |