Whalio Doctors

NPI 1023532025

Community Bridges, INC.

Organisation Adult Mental Health Clinic/Center Avondale, AZ

Practice location

Address
824 N 99th Ave STE 107-108, Avondale, AZ 85323-5324
Phone
(623) 907-1457
Mailing address
1855 W Baseline Rd STE 101, Mesa, AZ 85202-9098

Authorised official

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

Registered specialties (5)

Adult Mental Health Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence OTC5972 (AZ)
Case Management Agency
Agencies Taxonomy 251B00000X Licence OTC5972 (AZ)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence OTC5972 (AZ)
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence OTC5972 (AZ)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence OTC5972 (AZ)

Registry record

NPI
1023532025
Entity type
Organization
NPI issued
1 Aug 2017
Record last updated
7 Apr 2022

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.