Provider Demographics
NPI:1659735660
Name:BRIDGE TO BALANCE INC
Entity Type:Organization
Organization Name:BRIDGE TO BALANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPANERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-254-1273
Mailing Address - Street 1:125 VETERANS LN
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2333
Mailing Address - Country:US
Mailing Address - Phone:856-354-0664
Mailing Address - Fax:
Practice Address - Street 1:125 VETERANS LN
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2333
Practice Address - Country:US
Practice Address - Phone:856-354-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty