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.

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Contact Information

COMMUNITY BRIDGES, INC.

460 N MESA DR STE 201
MESA, AZ 85201-5957

Phone: 555-048-0838
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Behavioral Health	251S00000X
Case Management	251B00000X
Clinic/Center	261Q00000X
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory
Health Service	261QH0100X
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI Number 1124518204

LBN Legal business name COMMUNITY BRIDGES, INC.

Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/15/2018

Last updated 08/02/2024 - More than a year ago

Identifiers

AZ	License #	OTC8918
AZ	Medicaid	424605
AZ	Other	OTC8918	ADHS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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