| NPI | 1073353967 |
|---|---|
| Doing Business As | BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | KAYLA DAWN MAKAR Owner 208-312-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-29 |