NPI 1316723588
Community Bridges, INC.
Practice location
- Address
- 463 S Lake Powell Blvd, Page, AZ 86040-0856
- Phone
- (928) 347-4566
- 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
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1316723588
- Entity type
- Organization
- NPI issued
- 5 Sep 2023
- Record last updated
- 18 Sep 2024
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.