| NPI | 1831721166 |
|---|---|
| Doing Business As | B.L.U. HEALS |
| Entity Type | Organization |
| Authorized Contact | PHILLIP MAURICE RIDDICK President 757-679-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |