ALBERT LONG RESIDENTIAL PROGRAM – NPI #1245610567
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
ALBERT LONG RESIDENTIAL PROGRAM is a community based residential treatment facility located in HOLBROOK, AZ. NPPES has assigned the NPI number 1245610567 to ALBERT LONG RESIDENTIAL PROGRAM on June 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALBERT LONG RESIDENTIAL PROGRAM” is a dba name, the actual legal business name for this organization is COMMUNITY BRIDGES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 3 years ago on Jan 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALBERT LONG RESIDENTIAL PROGRAM below.
NPI Profile for
COMMUNITY BRIDGES, INC.
(more than 11 years ago)
AREA B
HOLBROOK, AZ 86025-2036 Phone: (928) 524-1151 Fax:
SUITE 101
MESA, AZ 85202-9000 Phone: (480) 831-7566 Fax: (480) 962-7671
PRESIDENT/CEO
Phone: (480) 831-7566
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
||
| 324500000X - Substance Abuse Rehabilitation Facility |
AZ | BH4570 |
| 323P00000X - Psychiatric Residential Treatment Facility |
AZ | BH4570 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.