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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