Whalio Doctors

NPI 1003102120

Community Bridges, INC.

Organisation Substance Abuse Rehabilitation Facility Casa Grande, AZ

Practice location

Address
675 E Cottonwood Ln STE 140, Casa Grande, AZ 85122-2023
Phone
(520) 426-0088
Fax
(480) 775-2420
Mailing address
1855 W Baseline Rd STE 101, Mesa, AZ 85202-9098

Authorised official

Name
John F Hogeboom
Title
Ceo
Phone
(480) 831-7566

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence IFBH9071 (AZ)
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence IFBH9071 (AZ)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence IFBH9071 (AZ)

Registry record

NPI
1003102120
Entity type
Organization
NPI issued
27 Jun 2011
Record last updated
2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.