| NPI | 1063985679 |
|---|---|
| Doing Business As | SOUTH ORANGE BLOSSOMS, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURLESON Owner/Psychotherapist 973-370-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-04-13 |