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Organization

BREAK REPAIR HEAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE WRENCHER (CEO)
(850) 634-8465
Entity
Organization

Contact information

Practice address
501 EISENHOWER DR, CRESTVIEW, FL 32539-6955
(850) 634-8465
Mailing address
2821 S FERDON BLVD # 1010, CRESTVIEW, FL 32536-8474

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/07/2023
Last updated
06/22/2023
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