| Blossoms House Of Restoration | |
|
900 Crain Hwy S Glen Burnie MD 21061-3942 | |
| (443) 559-0450 | |
| Not Available |
| Full Name | Blossoms House Of Restoration |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Terri Fields (ADMINISTRATOR) |
| Authorized Official Contact | 4435590450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoms House Of Restoration 1064 Wisdom Ct #9564 Glen Burnie MD 21061-3966 Ph: (443) 559-0450 | Blossoms House Of Restoration 900 Crain Hwy S Glen Burnie MD 21061-3942 Ph: (443) 559-0450 |
| NPI Number | 1740723162 |
|---|---|
| Provider Enumeration Date | 12/03/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740723162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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