Organization
COMMUNITY INTERVENTION ASSOCIATES INC
Active
Other names
Community Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED COGBURN (CEO)
(928) 376-0026
Entity
Organization
Contact information
Practice address
1773 W SAINT MARYS RD, SUITE 102, TUCSON, AZ 85745-2654
(520) 622-8357
(520) 622-1028
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
—
AZ
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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