Organization
COMMUNITY BRIDGES
Active
Other names
Enhanced Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND CANCINO (CHIEF EXECUTIVE OFFICER)
(831) 688-8840
Entity
Organization
Contact information
Practice address
519 MAIN STREET, WATSONVILLE, CA 95076-4356
(831) 688-8840
(831) 688-8302
Mailing address
519 MAIN STREET, WATSONVILLE, CA 95076-4356
(831) 688-8840
(831) 688-8302
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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