NPI | 1104585421 |
---|---|
Doing Business As | BLOSSOM CHILDREN'S CENTER-BRIGHTON |
Entity Type | Organization |
Authorized Contact | ZIAD KOZA Owner 248-860-6212 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2021-12-14 |
Last Update Date | 2022-11-02 |