| NPI | 1679125850 |
|---|---|
| Doing Business As | BLOSSOM COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LESLIE DANIELLE DUNBAR Certified Subtance Abuse Conserlor 704-780-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |