| Organization Name: | BROKEN CHAINS INTERNATIONAL, INC |
| NPI Number: | 1063894533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN F DALY (CFO) |
| Mailing Address: | 3950 Cobb Pkwy Nw Suite 902 Acworth |
| State: | GA US |
| Postal Code: | 301019532 |
| Phone Number: | 6782788345 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |