Organization · Type 2 NPI

Community Bridges, Inc.

Mental Illness Community Based Residential Treatment Facility · Holbrook, AZ

NPI number 1245610567 Active

Practice location

993 Hermosa Dr, Area B
Holbrook, AZ 86025-2036

Call (928) 524-1151 Map

Mailing address

1855 W Baseline Rd, Suite 101
Mesa, AZ 85202-9000

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	BH4570 (AZ)
Substance Abuse Rehabilitation Facility	324500000X	BH4570 (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.

NPI record

NPI: 1245610567
Entity type: Organization (Type 2)
Issued: Jun 2, 2015
Last updated: Jan 2, 2023
Status: Active

Other names

<unavail>
Albert Long Residential Program · doing business as
Albert Long Residential Program · doing business as

Authorized official

John Hogeboom
President/ceo
(480) 831-7566

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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 1245610567

Community Bridges, Inc.'s National Provider Identifier is 1245610567, issued on Jun 2, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Holbrook, AZ. The record was last updated on Jan 2, 2023.