National Provider Identifier Database

COMMUNITY BRIDGES INC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Contact Information

COMMUNITY BRIDGES, INC.
250 S TOOLE AVE STE 110
TUCSON, AZ  85701-1814
Phone: 520-323-1212
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Case Management 251B00000X
Clinical Medical Laboratory 291U00000X
Health Service 261QH0100X
Non-emergency Medical Transport (VAN) 343900000X
Psychiatric Residential Treatment Facility 323P00000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI Number 1417439936
Legal business name
LBN		 COMMUNITY BRIDGES, INC.
Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 08/31/2018
Last updated 02/15/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH5420
  • AZ Other: BH5420 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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