| 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 |