Blossom Child Therapy Pllc
NPI #1740976711 in Davidson, North Carolina
Provider Information
- NPI Number
- 1740976711
- Entity Type
- Organization
- Organization Name
- Blossom Child Therapy Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 13, 2023
- Last Updated
- Apr 13, 2023
Practice Location
- Address
- 107 N MAIN ST
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036-9402
- Phone
- (704) 965-2142
Authorized Official
- Name
- KELLEY COCK
- Title
- MANAGER
- Phone
- (704) 965-2142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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