| NPI | 1881927200 |
|---|---|
| Other Name | BLOSSOM |
| Entity Type | Organization |
| Authorized Contact | DONNICA DANIELLE SCATES Director 202-641-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-23 |