Community Intervention Associagtes

LBN: Community Intervention Associagtes
Community Intervention Associagtes is an health care organization with primary practice located at 3802 W 16Th St , Yuma AZ 85364-4107. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Community Intervention Associagtes can be contacted via phone (928) 376-0026, or through Rodriguez, Gustavo Albert via phone (928) 376-0026.

Contact Information

Primary practice address
3802 W 16Th St Yuma AZ 85364-4107
Phone: (928) 376-0026
Fax: (928) 782-2298
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Gustavo Albert LISAC
Phone: (928) 376-0026

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1257 Arizona

Profile Details

NPI number 1144382524
LBN Legal business name Community Intervention Associagtes
DBA Doing business as
Authorized official Rodriguez, Gustavo Albert LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144382524 NPPES
Arizona MEDICAID 913922

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