| NPI | 1972287399 |
|---|---|
| Doing Business As | CACTUS BLOOM THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATELYN MARY SCHWENNEN Owner/Provider 208-802-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |