Organization · Type 2 NPI

Community Bridges, Inc.

Substance Abuse Rehabilitation Facility · Phoenix, AZ

NPI number 1295857084 Active

Practice location

2770 E Van Buren St
Phoenix, AZ 85008-6088

Call (602) 273-9999 Map

Fax (602) 273-9040

Mailing address

1855 W. Baseline Rd., Suite 101
Mesa, AZ 85202-9098

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency	251J00000X	IFBH6374 (AZ)
Primary Care Clinic/Center	261QP2300X	IFBH6374 (AZ)
Substance Use Disorder Rehabilitation Hospital Unit	276400000X	IFBH6374 (AZ)
Clinical Medical Laboratory	291U00000X	IFBH6374 (AZ)
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed
Non-emergency Medical Transport (VAN)	343900000X	IFBH6374 (AZ)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1295857084
Entity type: Organization (Type 2)
Issued: Apr 4, 2007
Last updated: Jan 17, 2023
Status: Active

Other names

<unavail>
Central City Addiction Recovery Center · doing business as
Central City Addiction Recovery Center · doing business as

Authorized official

Mr. John F Hogeboom, LISAC
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 1295857084

Community Bridges, Inc.'s National Provider Identifier is 1295857084, issued on Apr 4, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 17, 2023.