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Organization
BRIDGE TO BALANCE INC
Active
Organization
BRIDGE TO BALANCE INC
Active
Other names
Bridge To Balance INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRIO DAVIS (OWNER)
(602) 804-1182
Entity
Organization
Contact information
Practice address
1222 E BASELINE RD STE 103, TEMPE, AZ 85283-1433
(602) 705-1011
Mailing address
1222 E BASELINE RD STE 103, TEMPE, AZ 85283-1433
(602) 804-1182
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/25/2022
Last updated
08/12/2026
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