Blossum Developmental Solutions, LLC
NPI #1003613241 in West New York, New Jersey
Provider Information
- NPI Number
- 1003613241
- Entity Type
- Organization
- Organization Name
- Blossum Developmental Solutions, LLC
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 5016 BERGENLINE AVE UNIT 2
- City
- West New York
- State
- New Jersey
- ZIP Code
- 07093-5522
- Phone
- (856) 383-6253
Authorized Official
- Name
- MR. JAMAL S STEPHENS
- Title
- CEO
- Phone
- (856) 383-6253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Case Manager/Care Coordinator |
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