Organization · Type 2 NPI

Community Bridges, Inc.

Mental Illness Community Based Residential Treatment Facility · Bisbee, AZ

NPI number 1003353244 Active

Practice location

240 O'hara Avenue
Bisbee, AZ 85603

Call (520) 432-8068 Map

Fax (520) 432-6962

Mailing address

1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	BH5106 (AZ)
Non-emergency Medical Transport (VAN)	343900000X	BH5106 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Another provider at this address

Women's Transition Project, Inc.Substance Abuse Rehabilitation Facility Bisbee, AZ NPI 1407928351

Other mental illness community based residential treatment facility providers in Bisbee

Luminaria, LLCMental Illness Community Based Residential Treatment Facility Bisbee, AZ NPI 1922427988

See all in Bisbee →

NPI record

NPI: 1003353244
Entity type: Organization (Type 2)
Issued: Jan 26, 2017
Last updated: Jan 13, 2023
Status: Active
Subpart: Yes of Community Bridges, Inc.

Other names

<unavail>
Women's Transition Project · doing business as
Women's Transition Project · doing business as

Authorized official

John Hogeboom, LISAC
CEO
(480) 831-7566

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003353244

Community Bridges, Inc.'s National Provider Identifier is 1003353244, issued on Jan 26, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Bisbee, AZ. The record was last updated on Jan 13, 2023.