Organization
COMMUNITY INTERVENTION ASSCIATES, INC
Active
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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