NPI | 1447821764 |
---|---|
Former Legal Business Name | BLOOM MENTAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | ERIKA HUBBARD Owner/Psychotherapist 207-245-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-10-17 |