NPI | 1073251377 |
---|---|
Doing Business As | BRIDGE TO BALANCE INC |
Entity Type | Organization |
Authorized Contact | MYRIO DAVIS Owner 602-705-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 174200000X Meals |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2022-05-25 |
Last Update Date | 2025-08-14 |