| NPI | 1811755572 |
|---|---|
| Doing Business As | COMMUNITY BRIDGES IDAHO CRISIS MOBILE TEAM |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |