Organization · NPI-2

Blossom Community Services

Community/Behavioral Health · Gastonia, NC

NPI number1447734181
StatusActive
Last updated in NPPESDec 10, 2024

Details

NPI
1447734181
Entity type
Organization (NPI-2)
Legal business name
Blossom Community Services
Organization subpart
No
Enumeration date
Sep 19, 2018
Certification date
Dec 10, 2024
Last updated
Dec 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
320800000X Community Based Residential Treatment Facility, Mental Illness––
343800000X Secured Medical Transport (VAN)––
344600000X Taxi––
347C00000X Private Vehicle––

Other names

  • Blossom Community Services INC (Doing Business As)

Practice location

1911 Willimax Ave
Gastonia, NC 28054-7440

Phone 704-780-3082

Mailing address

1911 Willimax Avenue
Gastonia, NC 28054-7440

Phone 704-780-3082

Other practice locations

2311 Aberdeen Blvd
Gastonia, NC 28054-0601

Phone 704-780-3082

2450 Aberdeen Blvd
Gastonia, NC 28054-0644

Phone 704-780-3082

Authorized official

Leslie Danielle Dunbar
Owner
7047803082

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