NPI 1073245692

Community Bridges, INC.

Organisation Case Management Agency Page, AZ

Practice location

Address: 32 North 10th Avenue Suite 5, Page, AZ 86040
Phone: (480) 831-7566
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 (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

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Registry record

NPI: 1073245692
Entity type: Organization
NPI issued: 30 Jun 2022
Record last updated: 30 Jun 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.