| NPI | 1710614367 |
|---|---|
| Doing Business As | BRING YOUR BROKENNESS INC |
| Doing Business As | THE CHARIS HOUSE |
| Entity Type | Organization |
| Authorized Contact | AMIE N. SHIELDS CEO 904-789-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-01-08 |