Organization
COMMUNITY BRIDGES, INC.
Active
Organization
COMMUNITY BRIDGES, INC.
Active
Other names
Toole Transition Point -2
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
250 S TOOLE AVE STE 110, TUCSON, AZ 85701-1814
(520) 323-1212
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
—
—
261QH0100X
Health Service Clinic/Center
BH5420
AZ
291U00000X
Clinical Medical Laboratory
BH5420
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
BH5420
AZ
343900000X
Non-emergency Medical Transport (VAN)
BH5420
AZ
385H00000X
Respite Care
BH5420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5420
ADHS
AZ
Enumeration date
08/31/2018
Last updated
02/15/2023
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