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) 705-1011
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
(608) 705-1011
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
08/14/2025
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