| NPI | 1174478721 |
|---|---|
| Doing Business As | JADE BLOOM PSYCHOED |
| Entity Type | Organization |
| Authorized Contact | DAPHANE GRACE RIVERS School Psychologist/Lpes 678-492-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |