Bridge to Balance INC

NPI #1073251377 in Tempe, Arizona

Provider Information

NPI Number: 1073251377
Entity Type: Organization
Organization Name: Bridge to Balance INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 25, 2022
Last Updated: Aug 14, 2025

Practice Location

Address: 1222 E BASELINE RD STE 103
City: Tempe
State: Arizona
ZIP Code: 85283-1433
Phone: (602) 705-1011

Authorized Official

Name: MR. MYRIO DAVIS
Title: OWNER
Phone: (602) 705-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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