Organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Active
Parent organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Other names
Community Intervention Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY INTERVENTION ASSOCIATES, INC.
Authorized official
MR. ALLISON S NICOL (DIRECTOR OF LOGISTICS)
(520) 988-0811
Entity
Organization
Contact information
Practice address
1516 S OCOTILLO AVE, PARKER, AZ 85344-6234
(928) 669-5319
(928) 669-5368
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-3994
AZ
251S00000X
Community/Behavioral Health Agency
BH3488
AZ
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750372
—
AZ
Enumeration date
02/12/2010
Last updated
11/27/2024
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