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1700681822
BROKEN BY VIOLENCE
FAIRFIELD, CA
NPI
1700681822
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Entity Type
Organization
Authorized Contact
EBONY ANTOINE
Exceutive Director
209-688-4614
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2025-02-13
Last Update Date
2025-02-13
Business Address
BROKEN BY VIOLENCE
840 E TRAVIS BLVD APT 308
FAIRFIELD, CA 94533-5323
Phone number: 209-688-4614
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Mailing Address
BROKEN BY VIOLENCE
840 E TRAVIS BLVD APT 308
FAIRFIELD, CA 94533-5323
Phone number: 209-688-4614
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