Aspire Adolescent

LBN: Community Bridges, Inc.
Aspire Adolescent is an health care organization with primary practice located at 1012 S Stapley Dr Bldg 5 Suite 117, Mesa AZ 85204-4270. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (480) 768-6022, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
1012 S Stapley Dr Bldg 5 Suite 117 Mesa AZ 85204-4270
Fax:
Website:
Authorized official contact:
Name: Hogeboom, John

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X OTC6484 Arizona
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X OTC6484 Arizona
Ambulatory Health Care Facilities / Primary Care 261QP2300X OTC6484 Arizona

Profile Details

NPI number 1417462938
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Aspire Adolescent
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2017
Last updated Jul 14th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417462938 NPPES
Arizona Other OTC6484 ADHS

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