# COMMUNITY INTERVENTION CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508112228
- **Authorized official:** NJERIA OTIKA KAMILAH MCCLAIN M.S. (CASE MANAGER)
- **Authorized official phone:** (850) 222-3508

## Contact information

- **Practice address:** 1353-B CROSS CREEK CIRCLE, TALLAHASSEE, FL 32301
- **Practice address phone:** (850) 222-3508
- **Practice address fax:** (850) 222-3066
- **Mailing address:** 1353-B CROSS CREEK CIRCLE, TALLAHASSEE, FL 32301
- **Mailing address phone:** (850) 222-3508
- **Mailing address fax:** (850) 222-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012