National Provider Identifier Database

COMMUNITY BRIDGES INC
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

COMMUNITY BRIDGES, INC.
824 N 99TH AVE STE 107-108
AVONDALE, AZ85323-5324
Phone: 623-907-1457
Fax:
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Health Service 261QH0100X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI Number 1023532025
Legal business name
LBN
COMMUNITY BRIDGES, INC.
Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 08/01/2017
Last updated 04/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC5972

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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