Organization
COMMUNITY BRIDGES, INC
Active
Organization
COMMUNITY BRIDGES, INC
Active
Parent organization
COMMUNITY BRIDGES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BRIDGES, INC
Authorized official
JOHN F HOGEBOOM LISAC (COO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
358 E JAVELINA AVE, MESA, AZ 85210-6207
(480) 831-7566
(480) 962-7671
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
251B00000X
Case Management Agency
Primary
BH-1453
AZ
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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