National Provider Identifier Database

COMMUNITY BRIDGES INC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

COMMUNITY BRIDGES, INC.
460 N MESA DR STE 201
MESA, AZ85201-5957
Phone: 555-048-0838
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Case Management 251B00000X
Clinic/Center 261Q00000X
Clinical Medical Laboratory 291U00000X
Health Service 261QH0100X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI Number 1124518204
Legal business name
LBN
COMMUNITY BRIDGES, INC.
Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 05/15/2018
Last updated 08/02/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC8918
  • AZ Medicaid: 424605
  • AZ Other: OTC8918 ADHS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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