| NPI | 1922576834 |
|---|---|
| Doing Business As | BLOOM PSYCHOTHERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | CATINA WILLIAMS Owner 757-610-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-19 |