Organization
COMMUNITY BRIDGES, INC
Active
Parent organization
COMMUNITY BRIDGES, INC
Other names
East Valley Addiction Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BRIDGES, INC
Authorized official
MR. JOHN F HOGEBOOM LISAC (VP/COO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
560 S BELLVIEW, MESA, AZ 85204-2504
(480) 962-7711
(480) 844-8449
Mailing address
1811 S ALMA SCHOOL RD, SUITE 160, MESA, AZ 85210-3001
(480) 831-7566
(480) 962-7671
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03D1081388
AZ
Other
Enumeration date
06/02/2009
Last updated
06/10/2009
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