Community Bridges, Inc., NPI 1649425950
Psychiatric Residential Treatment Facility in Globe, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1649425950 |
| NPI Entity Type | Organization |
| Provider Name |
Community Bridges, Inc.
Doing Business As |
| Subpart of Organization | Community Bridges, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 5734 Hope Ln, Suite 1, Globe, AZ, US |
| Provider Mailing Address | 1855 W. Baseline Rd, Suite 101, Mesa, AZ, US, 852029098 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. LISAC John F Hogeboom |
| Official Position | PRESIDENT/CEO |
| Phone | 480-831-7566 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Psychiatric Residential Treatment Facility |
| Classification | |
| Group | |
| License No. | BH5370 |
| License State | AZ |
| Description | A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| SABH 6693 | AZ | No | |||
| SABH 6693 | AZ | No | |||
| SABH 6693 | AZ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 378626 | AZ | MEDICAID | 05 |
| Z145164 | AZ | MEDICARE PTAN | 01 |
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