Community Bridges, Inc.

NPI #1003353244 in Bisbee, Arizona

Provider Information

NPI Number: 1003353244
Entity Type: Organization
Organization Name: Community Bridges, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY BRIDGES, INC.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 26, 2017
Last Updated: Jan 13, 2023

Practice Location

Address: 240 O'HARA AVENUE
City: Bisbee
State: Arizona
ZIP Code: 85603
Phone: (520) 432-8068

Authorized Official

Name: JOHN HOGEBOOM, LISAC
Title: CEO
Phone: (480) 831-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Non-emergency Medical Transport (VAN)	343900000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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