Organization · Type 2 NPI

Catholic Community Services of Southern Arizona, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1780895102 Active

Practice location

268 W Adams St
Tucson, AZ 85705-6534

Call (520) 792-1906 Map

Fax (520) 770-8562

Other practice locations

8840 E 22nd St # 1, Tucson, AZ 85710-7330 · (520) 623-0344

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

4 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Tucson

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NPI record

NPI: 1780895102
Entity type: Organization (Type 2)
Issued: May 25, 2007
Last updated: Oct 27, 2026
Status: Active
Subpart: Yes of Catholic Community Services of Southern Arizona, Inc.

Other names

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Community Living Program · doing business as

Authorized official

Terry Randolph
COO
(520) 623-0344

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780895102

Catholic Community Services of Southern Arizona, Inc.'s National Provider Identifier is 1780895102, issued on May 25, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tucson, AZ. The record was last updated on Oct 27, 2026.