| Community Intervention Assciates, Inc | |
|
1701 North Douglasave Douglas AZ 85607 | |
| (520) 727-7091 | |
| (520) 364-2770 |
| Full Name | Community Intervention Assciates, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1701 North Douglasave, Douglas, Arizona |
| Authorized Official Name and Position | Allison Sue Nicol (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 9283760026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Intervention Assciates, Inc 2851 S Avenue B Bldg 4 Yuma AZ 85364-7726 Ph: (928) 376-0026 | Community Intervention Assciates, Inc 1701 North Douglasave Douglas AZ 85607 Ph: (520) 727-7091 |
| NPI Number | 1245523364 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245523364 | NPI | - | NPPES |
| 499739 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3221 (Arizona) | Primary |
| 251S00000X | Community/behavioral Health | BH-3769 (Arizona) | Secondary |
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