Organization
COMMUNITY BRIDGES, INC.
Active
Other names
Community Psychiatric Emergency Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
358 E JAVELINA AVE STE 102, MESA, AZ 85210-6205
(480) 831-7566
(480) 962-7671
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 962-7671
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
IFBH7331
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
IFBH7331
AZ
261QM0850X
Adult Mental Health Clinic/Center
IFBH7331
AZ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
IFBH7331
AZ
291U00000X
Clinical Medical Laboratory
IFBH7331
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083505
—
AZ
Enumeration date
11/05/2015
Last updated
01/17/2023
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