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
MYRIO MARTELL DAVIS (OWNER)
(602) 705-1011
Entity
Organization
Contact information
Practice address
1833 W LARK DR, CHANDLER, AZ 85286-7485
(602) 705-1011
Mailing address
1833 W LARK DR, CHANDLER, AZ 85286-7485
(602) 705-1011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
08/14/2025
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