| NPI | 1720682230 |
|---|---|
| Doing Business As | BLOOM |
| Entity Type | Organization |
| Authorized Contact | KELLY ELISE ULMER Owner 305-962-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2023-12-04 |