COMMUNITY INTERVENTION ASSOCIATES, INC
Ambulatory Health at Ave B, Yuma, AZ

License number
Arizona OTC-6468
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. FRED COGBURN
Title: CEO
Phone: (928) 376-0026
Address
Address
2851 S. Avenue B SUITE 2901, Yuma, AZ 85364
National Provider ID: 1851651079
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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