COMMUNITY INTERVENTION ASSOCIATES, INC.
Agencies at Ocotillo Ave, Parker, AZ

License number
Arizona BH-3994
Category
Agencies
Type
Community/Behavioral Health
License number
Arizona BH3488
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. FRED R COGBURN
Title: CEO
Phone: (928) 376-0026
Address
Address 2
1516 Ocotillo Ave, Parker, AZ 85344
2851 S Avenue B BLDG 4, Yuma, AZ 85364
National Provider ID: 1255663423
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY INTERVENTION ASSOCIATES, INC. at bizstanding.com

COMMUNITY INTERVENTION ASSOCIATES, INC

Yuma, AZ

Industry:
Intermediate Care Facility
Registration:
Jul 2, 2004
Addresses:
2851 S, Yuma, AZ 85364 (Physical)
2851 S Ave B, Yuma, AZ 85364
State ID:
-1137612-1
Expiration:
PERPETUAL
Psychiatrys:
Fred Cogburn (Chief executive officer, Chief Executive Officer), 2851 S Ave B, Yuma, AZ 85364 (Physical),Nadia Orozco (Director),Mary Gonzales (Administration),...
Agent:
Michael C Gillette,% Gammage & Burnham 2 N Centera Ave 15, Phoenix, AZ 85004 (Physical)

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