COMMUNITY INTERVENTION ASSOCIATES
Agencies at Blvd Del Rey David, Nogales, AZ

License number
Arizona BH-3771
Category
Agencies
Type
Community/Behavioral Health
License number
Arizona B-3771
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. FRED R COGBURN
Title: CEO
Phone: (928) 376-0026
Address
Address 2
32 Boulevard Del Rey David, Nogales, AZ 85621
2851 S Avenue B BLDG 4, Yuma, AZ 85364
National Provider ID: 1043504376
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 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)

Community Intervention Associates

32 Blvd Del Rey David, Nogales, AZ 85621

Status:
Inactive
Industry:
Individual/Family Services
Doing business as:
Community Intervention Associate
Phone:
(520) 377-9596 (Phone)
Vice-Presidents:
Sylvia Flores Principal, Vice-President, inactive,Silvia Flores Vice-President, inactive
Categories:
Child Abuse Information & Services, Crisis Centers

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