Broken by Violence
Broken by Violence is a Community/Behavioral Health Agency in Fairfield, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
840 E Travis Blvd Apt 308Fairfield, CA 94533-5323
Phone: (209) 688-4614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1700681822 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ebony Antoine — Exceutive Director · (209) 688-4614 |
| Other names | Broken By Violence |
| NPI enumerated | February 13, 2025 |
| Last updated in NPPES | February 13, 2025 |
| Certification date | February 13, 2025 |
| Mailing address | 840 E Travis Blvd Apt 308, Fairfield, CA 94533-5323 |
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