# COMMUNITY BRIDGES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CBI Winslow Juvenile Detention Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780333799
- **Authorized official:** JOHN HOGEBOOM LISAC (PRESIDENT/CEO)
- **Authorized official phone:** (480) 831-7566

## Contact information

- **Practice address:** 110 E SECOND ST, WINSLOW, AZ 86047-3704
- **Practice address phone:** (928) 289-1122
- **Mailing address:** 1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
- **Mailing address phone:** (480) 831-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 07/14/2022