COMMUNITY BRIDGES INC. NPI 1568986560

NPI Information

NPI: 1568986560
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: AVONDALE ACT

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
824 N 99TH AVE
SUITE 107-108
AVONDALE, AZ
ZIP 85323
Phone: (623) 907-1457
Get Directions

COMMUNITY BRIDGES, INC. is an adult mental health clinic center in Avondale, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COMMUNITY BRIDGES, INC. NPI is 1568986560. The provider is registered as an organization entity type.
The provider Is Doing Business As Avondale Act.

The provider's business location address is:

824 N 99TH AVE
SUITE 107-108
AVONDALE, AZ
ZIP 85323-327
Phone: (623) 907-1457

The provider's authorized official is John Hogeboom .
The authorized official title is President/ceo and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		OTC5972	ARIZONA	No
2	251S00000X	Community/Behavioral Health		OTC5972	ARIZONA	No
3	261QH0100X	Clinic/Center	Health Service	OTC5972	ARIZONA	No
4	276400000X	Rehabilitation, Substance Use Disorder Unit		OTC5972	ARIZONA	No
5	261QM0850X	Clinic/Center	Adult Mental Health	OTC5972	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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