03D2036391 CLIA NUMBER - COMMUNITY BRIDGES, INC - ASPIRE

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Laboratory Demographics

CLIA Number: 03D2036391

Facility Name: COMMUNITY BRIDGES, INC - ASPIRE

Facility Address:
1012 S STAPLEY, BLDG 5, STE 117
MESA, AZ
ZIP 85204
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Facility Phone Number: 480 768-6022

Facility Type: Other - OUTPATIENT CLINIC

Certificate Type: Waiver

NPI Number: 1922304310

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D2036391
LAB Type	Other - OUTPATIENT CLINIC
Facility Name	COMMUNITY BRIDGES, INC - ASPIRE
Street	1012 S STAPLEY, BLDG 5, STE 117
City	MESA
State	AZ
ZIP	85204
Phone	480 768-6022
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024