OrganizationActive
A Living Room on Broadway, PLLC
NPI 1053965376 · Substance Abuse Rehabilitation Facility · Tucson, AZ
Provider details
- NPI number
- 1053965376
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Cynthia Miller-Potter, Employee
Mailing address
4144 E Broadway Blvd
Tucson, AZ 85711-3455
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2019-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.