Organization
COMMUNITY BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMON CANCINONO (CHIEF EXECUTIVE OFFICER)
(831) 688-8840
Entity
Organization
Contact information
Practice address
519 MAIN STREET, WATSONVILLE, CA 95076-4356
(831) 688-8840
(831) 688-8302
Mailing address
519 MAIN STREET, WATSONVILLE, CA 95076-4356
(831) 688-8840
(831) 688-8302
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/09/2018
Last updated
06/03/2023
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