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COMMUNITY BRIDGES INC. NPI 1780333799


NPI Information

NPI: 1780333799
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: CBI WINSLOW JUVENILE DETENTION PROGRAM

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
110 E SECOND ST
WINSLOW, AZ
ZIP 86047
Phone: (928) 289-1122
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COMMUNITY BRIDGES, INC. is an adolescent and children mental health clinic center in Winslow, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. COMMUNITY BRIDGES, INC. NPI is 1780333799. The provider is registered as an organization entity type.
The provider Is Doing Business As Cbi Winslow Juvenile Detention Program.

The provider's business location address is:

110 E SECOND ST
WINSLOW, AZ
ZIP 86047-704
Phone: (928) 289-1122

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 3/18/2022 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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
1BH6949OTHERARIZONAADHS

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: 4/28/2024

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