Whalio Doctors

NPI 1003353244

Community Bridges, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Bisbee, AZ

Practice location

Address
240 O'Hara Avenue, Bisbee, AZ 85603
Phone
(520) 432-8068
Fax
(520) 432-6962
Mailing address
1855 W Baseline Rd STE 101, Mesa, AZ 85202-9098

Authorised official

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

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence BH5106 (AZ)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence BH5106 (AZ)

Registry record

NPI
1003353244
Entity type
Organization
NPI issued
26 Jan 2017
Record last updated
13 Jan 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.