| NPI | 1710521026 |
|---|---|
| Doing Business As | BLOSSOM THERAPY DBA |
| Entity Type | Organization |
| Authorized Contact | WENNDY I CONTRERAS Owner/Therapist 512-350-1707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |