| NPI | 1033893623 |
|---|---|
| Doing Business As | PSYCH BLOSSOM |
| Entity Type | Organization |
| Authorized Contact | KETY LOPEZ President 786-366-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |