| Bridge to Balance Inc | |
|
1833 W Lark Dr Chandler AZ 85286-7485 | |
| (602) 705-1011 | |
| Not Available |
| Full Name | Bridge to Balance Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1833 W Lark Dr, Chandler, Arizona |
| Authorized Official Name and Position | Myrio Martell Davis (OWNER) |
| Authorized Official Contact | 6027051011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge to Balance Inc 1833 W Lark Dr Chandler AZ 85286-7485 Ph: (602) 705-1011 | Bridge to Balance Inc 1833 W Lark Dr Chandler AZ 85286-7485 Ph: (602) 705-1011 |
| NPI Number | 1790590552 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 08/14/2025 |
| Certification Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790590552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Secondary |
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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