| NPI | 1093666265 |
|---|---|
| Doing Business As | BLOOMHAVEN WELLNESS RETREATS |
| Entity Type | Organization |
| Authorized Contact | JASMINE N RANDOLPH Manager 832-730-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-19 |