| Community Intervention Assciates, Inc | |
|
15390 W Ajo Hwy Tucson AZ 85735-2023 | |
| (928) 376-0026 | |
| (928) 782-2298 |
| Full Name | Community Intervention Assciates, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15390 W Ajo Hwy, Tucson, Arizona |
| Authorized Official Name and Position | Fred Cogburn (CEO) |
| 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 15390 W Ajo Hwy Tucson AZ 85735-2023 Ph: (928) 376-0026 |
| NPI Number | 1699125047 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699125047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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