Blossom Wellness, Llc | |
358 Wall St Princeton NJ 08540-1517 | |
(609) 580-0103 | |
Not Available |
Full Name | Blossom Wellness, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 358 Wall St, Princeton, New Jersey |
Authorized Official Name and Position | Christa M. Wolski (OWNER) |
Authorized Official Contact | 6095800103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blossom Wellness, Llc Po Box 302 Rocky Hill NJ 08553-0302 Ph: (609) 580-0103 | Blossom Wellness, Llc 358 Wall St Princeton NJ 08540-1517 Ph: (609) 580-0103 |
NPI Number | 1043869654 |
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Provider Enumeration Date | 09/06/2019 |
Last Update Date | 09/06/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043869654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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