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Community Intervention Associates

NPI #1245523364 in Douglas, Arizona

Provider Information

NPI Number
1245523364
Entity Type
Organization
Organization Name
Community Intervention Associates
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 23, 2011
Last Updated
Feb 10, 2016

Practice Location

Address
1701 NORTH DOUGLASAVE
City
Douglas
State
Arizona
ZIP Code
85607
Phone
(520) 727-7091

Authorized Official

Name
MR. FRED R COGBURN
Title
CEO
Phone
(928) 376-0026

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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