| NPI | 1447734181 |
|---|---|
| Doing Business As | BLOSSOM COMMUNITY SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | LESLIE DANIELLE DUNBAR Owner 704-780-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-02-05 |