| NPI | 1639652266 |
|---|---|
| Doing Business As | BLOOM BEHAVIORAL COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | JEANNETTE L EVERETTE Administrator 602-434-2612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |