| 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 |