| Community Intervention Associates | |
|
2851 S Ave B Bldg 4a, 4b, Suites 1101 And 1102 Yuma AZ 85364 | |
| (928) 376-0026 | |
| (928) 782-2298 |
| Full Name | Community Intervention Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2851 S Ave B, Yuma, Arizona |
| Authorized Official Name and Position | Fred R Cogburn (CEO) |
| Authorized Official Contact | 9283760026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Intervention Associates 2851 S Ave B Bldg 4 Yuma AZ 85364 Ph: (928) 376-0026 | Community Intervention Associates 2851 S Ave B Bldg 4a, 4b, Suites 1101 And 1102 Yuma AZ 85364 Ph: (928) 376-0026 |
| NPI Number | 1639287667 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639287667 | NPI | - | NPPES |
| 838391 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-4261 (Arizona) | Primary |
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