Community Bridges, Inc. | |
824 N 99th Ave Ste 108 Avondale AZ 85323-5327 | |
(623) 907-1457 | |
Not Available |
Full Name | Community Bridges, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 824 N 99th Ave Ste 108, Avondale, Arizona |
Authorized Official Name and Position | John Hogeboom (CHIEF OPERATING OFFICER) |
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. 824 N 99th Ave Ste 108 Avondale AZ 85323-5327 Ph: (623) 907-1457 |
NPI Number | 1972364966 |
---|---|
Provider Enumeration Date | 01/17/2024 |
Last Update Date | 01/17/2024 |
Certification Date | 01/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972364966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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