NPI | 1225569718 |
---|---|
Doing Business As | BLOOM RECOVERY |
Entity Type | Organization |
Authorized Contact | ALEX RUNOLFSON Owner 801-809-6011 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-03-25 |
Last Update Date | 2017-03-25 |