Organization
COMMUNITY BRIDGES, INC.
Active
Other names
West Valley Outpatient Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOGEBOOM (CHIEF OPERATING OFFICER)
(480) 831-7566
Entity
Organization
Contact information
Practice address
824 N 99TH AVE STE 108, AVONDALE, AZ 85323-5327
(623) 907-1457
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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