NPI 1487004057
Broken But Restored INC
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
Counselor
Private Vehicle
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.