| Bloom Recovery | |
|
2220 E Murray Holladay Rd Unit 186 Holladay UT 84117-5377 | |
| (801) 809-6011 | |
| Not Available |
| Full Name | Bloom Recovery |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2220 E Murray Holladay Rd, Holladay, Utah |
| Authorized Official Name and Position | Alex Runolfson (OWNER) |
| Authorized Official Contact | 8018096011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Recovery 2220 E Murray Holladay Rd Unit 186 Holladay UT 84117-5377 Ph: (801) 809-6011 | Bloom Recovery 2220 E Murray Holladay Rd Unit 186 Holladay UT 84117-5377 Ph: (801) 809-6011 |
| NPI Number | 1225569718 |
|---|---|
| Provider Enumeration Date | 03/25/2017 |
| Last Update Date | 03/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225569718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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