NPI | 1912714932 |
---|---|
Former Legal Business Name | BLOOMING HEALTH CENTER LLC |
Entity Type | Organization |
Authorized Contact | RAQUEL RALAT MARTINEZ Owner 407-301-7299 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2024-12-12 |
Last Update Date | 2025-01-31 |