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COMMUNITY BRIDGES INC. NPI 1982119855


NPI Information

NPI: 1982119855
Provider Name: COMMUNITY BRIDGES, INC.

Other Name: SMI SUPPORTIVE HOUSING TEAM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
824 N 99TH AVE STE 108
AVONDALE, AZ
ZIP 85323
Phone: (623) 907-1457
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COMMUNITY BRIDGES, INC. is a community behavioral health in Avondale, AZ. The provider is 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. COMMUNITY BRIDGES, INC. NPI is 1982119855. The provider is registered as an organization entity type.
The provider Other Name Is Smi Supportive Housing Team.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.


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
1251B00000XCase ManagementOTC5972ARIZONANo
2251S00000XCommunity/Behavioral HealthOTC5972ARIZONAYes

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
1OTC5972OTHERARIZONAADHS

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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