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Community Bridges, Inc.
Primary Care Clinic/Center in Mesa, Arizona
NPI 1417462938

Community Bridges, Inc. is a Primary Care Clinic/Center based in Mesa, AZ and is specialized in Primary Care. Community Bridges, Inc. practices in Mesa, AZ. The NPI Number for Community Bridges, Inc. is 1417462938 and holds a License No. OTC6484 (Arizona).

The current practice location address for Community Bridges, Inc. is 1012 S Stapley Dr Bldg 5, Mesa, AZ and can be reached out via phone at 480-768-6022.

Location: 1012 S Stapley Dr Bldg 5, Mesa, AZ, 85202-9098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417462938
Provider Name
Community Bridges, Inc.
Credential
Provider Entity Type
Organization
Address
1012 S Stapley Dr Bldg 5, Mesa, AZ, 85202-9098
Phone Number
480-768-6022
Fax Number
Provider Enumeration Date
12/06/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTC6484 01 AZ ADHS
institution
Provider Business Practice Location Address Details
Address
1012 S Stapley Dr Bldg 5
City
Mesa
State
Arizona
Zip
85204-4270
Phone Number
480-768-6022
Fax Number
person
Provider Business Mailing Address Details
Address
1012 S Stapley Dr Bldg 5
City
Mesa
State
Arizona
Zip
85204-4270
Phone Number
480-768-6022
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
OTC6484 (Arizona)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
OTC6484 (Arizona)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
OTC6484 (Arizona)
Definition
Definition to come...
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