NPI | 1700681822 |
---|---|
Doing Business As | BROKEN BY VIOLENCE |
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 |