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COMMUNITY BRIDGES INC. NPI 1184136400


NPI Information

NPI: 1184136400
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: WEST VALLEY TRANSITION POINT-2

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
824 N 99TH AVE STE 105
AVONDALE, AZ
ZIP 85323
Phone: (623) 907-1457
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COMMUNITY BRIDGES, INC. is a psychiatric residential treatment facility in Avondale, AZ. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary COMMUNITY BRIDGES, INC. NPI is 1184136400. The provider is registered as an organization entity type.
The provider Is Doing Business As West Valley Transition Point-2.

The provider's business location address is:

824 N 99TH AVE STE 105
AVONDALE, AZ
ZIP 85323-327
Phone: (623) 907-1457
Fax: (623) 755-2424

The provider's authorized official is Andrea Lopez .
The authorized official title is Medical Credentialing Manager and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityBH5274ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1763295MEDICAIDARIZONA

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: 11/14/2023

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