| Bloom Behavior And Consulting Services | |
|
85 Stoneheights Dr Waterford CT 06385-1975 | |
| (860) 917-0923 | |
| Not Available |
| Full Name | Bloom Behavior And Consulting Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 Stoneheights Dr, Waterford, Connecticut |
| Authorized Official Name and Position | Courtney Pinner (MEMBER) |
| Authorized Official Contact | 8609170923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior And Consulting Services 85 Stoneheights Dr Waterford CT 06385-1975 Ph: (860) 917-0923 | Bloom Behavior And Consulting Services 85 Stoneheights Dr Waterford CT 06385-1975 Ph: (860) 917-0923 |
| NPI Number | 1205374907 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205374907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-14-10399 (Connecticut) | Primary |
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