Bring Your Brokenness INC
Psychiatric Residential Treatment Facility in Yulee, FL. Organization (NPI-2).
NPI number1710614367
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1710614367
- Entity type
- Organization (NPI-2)
- Legal business name
- Bring Your Brokenness INC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2022
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Bring Your Brokenness INC (Doing Business As)
- The Charis House (Doing Business As)
Practice location
87616 Roses Bluff RdYulee, FL 32097-4998
Phone 904-789-4673
Mailing address
87616 Roses Bluff RdYulee, FL 32097-4998
Phone 904-789-4673
Authorized official
Amie N. Shields
Ceo
9047894673
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