COMMUNITY INTERVENTION ASSOCIAGTES NPI 1144382524

NPI Information

NPI: 1144382524
Provider Name: COMMUNITY INTERVENTION ASSOCIAGTES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3802 W 16TH ST
YUMA, AZ
ZIP 85364
Phone: (928) 376-0026
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COMMUNITY INTERVENTION ASSOCIAGTES is an addiction (substance use disorder) counselor in Yuma, AZ. COMMUNITY INTERVENTION ASSOCIAGTES NPI is 1144382524. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3802 W 16TH ST
YUMA, AZ
ZIP 85364-107
Phone: (928) 376-0026
Fax: (928) 782-2298

The provider's authorized official is Gustavo Albert Rodriguez .
The authorized official title is Clinical Liaison and has the following contact phone number (928) 376-0026.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-1257	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	913922	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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