| NPI | 1215717350 |
|---|---|
| Doing Business As | BLOOM MENTAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | DARBI PETERSON Clinical Manager And Owner 469-588-6727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |