| NPI | 1952840597 |
|---|---|
| Doing Business As | BLOSSOMING BRAINS |
| Entity Type | Organization |
| Authorized Contact | MORGAN IRENE CAREY GRAHOVEC Owner 214-385-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37229) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 37229) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37229) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |