| Community Bridges, Inc. | |
|
463 S Lake Powell Blvd Page AZ 86040-0856 | |
| (928) 347-4566 | |
| Not Available |
| Full Name | Community Bridges, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 463 S Lake Powell Blvd, Page, 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. 463 S Lake Powell Blvd Page AZ 86040-0856 Ph: (928) 347-4566 |
| NPI Number | 1316723588 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316723588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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