Organization
COMMUNITY BRIDGES, INC.
Active
Other names
LCBH St. John's OP Adolescent Program
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
470 W CLEVELAND, ST JOHN'S, AZ 85936-0579
(928) 337-4301
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
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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