Organization
COMMUNITY BRIDGES IDAHO LLC
Active
Other names
Community Bridges Idaho Crisis Mobile Team
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE DURAZO (DIR OF CLAIMS ADMINISTRATION)
(602) 362-4995
Entity
Organization
Contact information
Practice address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
08/21/2025
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