Organization
COMMUNITY INTERVENTION ASSOCIATES, INC
Active
Other names
Community Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
FRED COGBURN (CEO)
(928) 376-0026
Entity
Organization
Contact information
Practice address
275 W CONTINENTAL RD, SUITES 133A, B, C, D AND 141, GREEN VALLEY, AZ 85622-3624
(928) 376-0026
(928) 782-2298
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
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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