COMMUNITY BRIDGES INC. NPI 1568986560

NPI Information

  • NPI: 1568986560
  • Provider Name: COMMUNITY BRIDGES, INC.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: AVONDALE ACT
  • Address: 824 N 99TH AVE
    SUITE 107-108
    AVONDALE, AZ
    ZIP 85323
  • Phone: (623) 907-1457

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NPI Details

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
1251B00000XCase ManagementOTC5972ARIZONANo
2251S00000XCommunity/Behavioral HealthOTC5972ARIZONANo
3261QH0100XClinic/CenterHealth ServiceOTC5972ARIZONANo
4276400000XRehabilitation, Substance Use Disorder UnitOTC5972ARIZONANo
5261QM0850XClinic/CenterAdult Mental HealthOTC5972ARIZONAYes

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: 3/30/2025

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