Albert Long Residential Program

LBN: Community Bridges, Inc.
Albert Long Residential Program is an health care organization with primary practice located at 993 Hermosa Dr Area B, Holbrook AZ 86025-2036. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (928) 524-1151, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
993 Hermosa Dr Area B Holbrook AZ 86025-2036
Phone: (928) 524-1151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X BH4570 Arizona
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH4570 Arizona

Profile Details

NPI number 1245610567
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Albert Long Residential Program
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2015
Last updated Jan 2nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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