| Community Bridges, Inc. | |
|
2770 E Van Buren St Rm E Phoenix AZ 85008-6088 | |
| (480) 831-7566 | |
| Not Available |
| Full Name | Community Bridges, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2770 E Van Buren St Rm E, Phoenix, Arizona |
| Authorized Official Name and Position | John Hogeboom (PRESIDENT/CEO) |
| 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. 2770 E Van Buren St Rm E Phoenix AZ 85008-6088 Ph: (480) 831-7566 |
| NPI Number | 1235849993 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235849993 | NPI | - | NPPES |
| OTC12004 | Other | AZ | ADHS |
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