Organization
COMMUNITY BRIDGES, INC.
Active
Organization
COMMUNITY BRIDGES, INC.
Active
Other names
FACT2
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
1520 E PIMA ST, PHOENIX, AZ 85034
(602) 407-6280
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 775-2457
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
OTC7924
AZ
251S00000X
Community/Behavioral Health Agency
OTC7924
AZ
261QH0100X
Health Service Clinic/Center
OTC7924
AZ
261QM0850X
Adult Mental Health Clinic/Center
OTC7924
AZ
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
OTC7924
AZ
Other
Enumeration date
08/01/2017
Last updated
07/14/2022
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