Organization
COMMUNITY BRIDGES, INC.
Active
Organization
COMMUNITY BRIDGES, INC.
Active
Other names
Toole Inpatient
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM LISAC (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
250 S TOOLE AVE STE A, TUCSON, AZ 85701-1814
(480) 831-7566
(480) 831-7576
Mailing address
1855 W BASELINE RD, SUITE, 101, MESA, AZ 85202-9000
(480) 831-7566
(480) 831-7576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
IFBH8025
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
IFBH8025
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242445
AHCCCS
—
01
—
IFBH8025
ADHS
AZ
Enumeration date
02/02/2017
Last updated
01/17/2023
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