Organization
COMMUNITY BRIDGES, INC.
Active
Other names
CBI - Encompass Page Stabilization And Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
32 NORTH 10TH AVENUE, SUITE 5, PAGE, AZ 86040
(480) 831-7566
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SABH11790
ADHS
AZ
Enumeration date
06/30/2022
Last updated
06/30/2022
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