{"npi":"1013239136","type":"NPI-2","status":"active","name":{"display":"Community Intervention Associates","other":[],"organization_name":"COMMUNITY INTERVENTION ASSOCIATES","authorised_official":"Fred Cogburn"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":"AZ","license":"BH3479"},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"AZ","license":"BH-3479"}]},"addresses":[{"purpose":"LOCATION","street_1":"1938 E JUAN SANCHEZ BLVD","city":"SAN LUIS","state":"AZ","postal_code":"85349","country_code":"US","street_2":"SUITE 4","phone":"9283760026","fax":"9287822298"},{"purpose":"MAILING","street_1":"2851 S AVE B","city":"YUMA","state":"AZ","postal_code":"85364","country_code":"US","street_2":"BLDG 4","phone":"9283760026","fax":"9287822298"}],"license":{"state":"AZ","number":"BH-3479"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"849596","state":"AZ","issuer":null},{"type_code":"05","label":"Medicaid","value":"496988","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-02-16","last_updated":"2016-02-10","_meta":{"source":"NPPES","snapshot_date":"2016-02-10","doc_url":"https://findmynpi.com/api"}}