Provider Demographics
NPI:1275327454
Name:IN BALANCE RANCH ACADEMY , INC.
Entity type:Organization
Organization Name:IN BALANCE RANCH ACADEMY , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRASSO
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, MLS
Authorized Official - Phone:520-722-9631
Mailing Address - Street 1:6107 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5828
Mailing Address - Country:US
Mailing Address - Phone:520-722-9631
Mailing Address - Fax:
Practice Address - Street 1:3333 N IN BALANCE ROAD
Practice Address - Street 2:
Practice Address - City:HUACHUCA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-722-9631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IN BALANCE RANCH ACADEMY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness