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Organization

COMMUNITY BRIDGES, INC.

Active
Other names
ACT Mesa Heritage
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization

Contact information

Practice address
460 N MESA DR STE 201, MESA, AZ 85201-5957
(480) 838-5550
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 775-2457

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
OTC8918
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTC8918
ADHS
AZ
Enumeration date
06/01/2018
Last updated
07/14/2022
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