Blossom Wellness, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Princeton, NJ. Organization (NPI-2).
NPI number1043869654
StatusActive
Last updated in NPPESSep 6, 2019
Details
- NPI
- 1043869654
- Entity type
- Organization (NPI-2)
- Legal business name
- Blossom Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2019
- Last updated
- Sep 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
358 Wall StPrinceton, NJ 08540-1517
Phone 609-580-0103
Mailing address
Po Box 302Rocky Hill, NJ 08553-0302
Phone 609-580-0103
Authorized official
Christa M. Wolski
Owner
6095800103
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