| Community Bridges, Inc. | |
|
824 N 99th Ave Ste 108 Avondale AZ 85323-5327 | |
| (623) 907-1457 | |
| Not Available |
| Full Name | Community Bridges, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 824 N 99th Ave Ste 108, Avondale, Arizona |
| Authorized Official Name and Position | John Hogeboom (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4808317566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Bridges, Inc. 1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 Ph: (480) 831-7566 | Community Bridges, Inc. 824 N 99th Ave Ste 108 Avondale AZ 85323-5327 Ph: (623) 907-1457 |
| NPI Number | 1972364966 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972364966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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