Organization
COMMUNITY BRIDGES, INC.
Active
Other names
West Valley Transition Point
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
824 N 99TH AVE STE 105, AVONDALE, AZ 85323-5327
(623) 907-1457
(623) 755-2424
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 831-7563
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
BH5274
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325351
—
AZ
Enumeration date
10/26/2017
Last updated
01/13/2023
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