Organization
COMMUNITY INTERVENTION ASSCIATES, INC
Active
Other names
Community Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON SUE NICOL (DIRECTOR OF LICENSING)
(928) 376-0026
Entity
Organization
Contact information
Practice address
1701 NORTH DOUGLASAVE, DOUGLAS, AZ 85607
(520) 727-7091
(520) 364-2770
Mailing address
2851 S AVENUE B BLDG 4, YUMA, AZ 85364-7726
(928) 376-0026
(928) 782-2298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3221
AZ
251S00000X
Community/Behavioral Health Agency
BH-3769
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499739
—
AZ
05
—
620627
—
AZ
05
—
881988
—
AZ
Enumeration date
05/23/2011
Last updated
05/08/2026
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