| NPI | 1851102628 |
|---|---|
| Other Name | BLOOMWELL BEHAVIORAL HEALTH INC. |
| Entity Type | Organization |
| Authorized Contact | LOGAN PRATT CEO 612-201-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |