NPI | 1790590552 |
---|---|
Doing Business As | BRIDGE TO BALANCE INC |
Entity Type | Organization |
Authorized Contact | MYRIO MARTELL DAVIS Owner 602-705-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261Q00000X Clinic/Center | |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-08-14 |