Whalio Doctors

NPI 1487004057

Broken But Restored INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Pompano Beach, FL

Practice location

Address
3179 W Atlantic Blvd STE 35, Pompano Beach, FL 33069-2565
Phone
(754) 244-7051

Authorised official

Name
Genika Byrd
Title
Owner/Cordinator
Phone
(754) 244-7051

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Private Vehicle
Transportation Services Taxonomy 347C00000X

Registry record

NPI
1487004057
Entity type
Organization
NPI issued
15 Jun 2016
Record last updated
15 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.