Provider Demographics
NPI:1376966168
Name:BREAKING BARRIERS
Entity Type:Organization
Organization Name:BREAKING BARRIERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RELF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-931-2801
Mailing Address - Street 1:1008 E BUCKEYE RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-4084
Mailing Address - Country:US
Mailing Address - Phone:623-931-2801
Mailing Address - Fax:623-931-2903
Practice Address - Street 1:1008 E BUCKEYE RD
Practice Address - Street 2:SUITE 125
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-4084
Practice Address - Country:US
Practice Address - Phone:623-931-2801
Practice Address - Fax:623-931-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ25/S00000XOtherPRIMARY TAXONOMY