| NPI | 1154696524 |
|---|---|
| Doing Business As | THE BLOOMING TREE |
| Entity Type | Organization |
| Authorized Contact | TRUDY A. GODWIN Executive Director 985-288-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 4416) |
| Additional Taxonomies | 251B00000X Case Management (Licence: LA 4416) |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2012-03-18 |