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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