COMMUNITY INTERVENTION ASSOCIATES
Agencies at Avenue B, Yuma, AZ

License number
Arizona LPC-14075
Category
Agencies
Type
Case Management
License number
Arizona LPC-14075
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: JOSE RAMON BUCIO LPC
Title: CLINICAL SUPERVISOR
Phone: (928) 376-0026
Address
Address
2851 S Avenue B BLDG 4, Yuma, AZ 85364
National Provider ID: 1194137315
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)

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