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Contact Information

COMMUNITY INTERVENTION ASSCIATES, INC
1701 NORTH DOUGLASAVE
DOUGLAS, AZ85607
 Phone: 520-727-7091
 Fax: 520-364-2770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for COMMUNITY INTERVENTION ASSCIATES, INC

NPI # 1245523364
LBN Legal business name COMMUNITY INTERVENTION ASSCIATES, INC
Authorized official ALLISON NICOL - (DIRECTOR OF LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2011
Last updated 05/08/2026 - About a month ago
Identifiers
AZ License # BH-3221
AZ License # BH-3769
AZ Medicaid 499739
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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