| Bring Your Brokenness Inc | |
|
87616 Roses Bluff Rd Yulee FL 32097-4998 | |
| (904) 789-4673 | |
| Not Available |
| Full Name | Bring Your Brokenness Inc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 87616 Roses Bluff Rd, Yulee, Florida |
| Authorized Official Name and Position | Amie N. Shields (CEO) |
| Authorized Official Contact | 9047894673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bring Your Brokenness Inc 87616 Roses Bluff Rd Yulee FL 32097-4998 Ph: (904) 789-4673 | Bring Your Brokenness Inc 87616 Roses Bluff Rd Yulee FL 32097-4998 Ph: (904) 789-4673 |
| NPI Number | 1710614367 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710614367 | NPI | - | NPPES |
| 8742 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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