# BRING YOUR BROKENNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Charis House, Bring Your Brokenness Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710614367
- **Authorized official:** MRS. AMIE N. SHIELDS (CEO)
- **Authorized official phone:** (904) 789-4673

## Contact information

- **Practice address:** 87616 ROSES BLUFF RD, YULEE, FL 32097-4998
- **Practice address phone:** (904) 789-4673
- **Mailing address:** 87616 ROSES BLUFF RD, YULEE, FL 32097-4998
- **Mailing address phone:** (904) 789-4673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 01/08/2024
