Community Bridges, Inc.

NPI #1205115631 in Avondale, Arizona

Provider Information

NPI Number: 1205115631
Entity Type: Organization
Organization Name: Community Bridges, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY BRIDGES, INC.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Aug 16, 2011
Last Updated: Feb 14, 2023

Practice Location

Address: 824 N 99TH AVE
Address 2: SUITE 107-108
City: Avondale
State: Arizona
ZIP Code: 85323-5315
Phone: (480) 831-7566

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Nursing Care	251J00000X
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinical Medical Laboratory	291U00000X
Non-emergency Medical Transport (VAN)	343900000X
Community/Behavioral Health	251S00000X	Primary

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