| NPI | 1356177521 |
|---|---|
| Doing Business As | THE BROKEN BIRD INC COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | CLARA GRAVES HOPKINS CEO 321-440-7253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |