| Blossom Integrated Health And Behavioral Services Llc | |
|
338 Mill St Hagerstown MD 21740-6138 | |
| (240) 347-4494 | |
| Not Available |
| Full Name | Blossom Integrated Health And Behavioral Services Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 338 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Ihuoma Marvelous Udeagha (PMHNP) |
| Authorized Official Contact | 2403474497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Integrated Health And Behavioral Services Llc 338 Mill St Hagerstown MD 21740-6138 Ph: (240) 347-4494 | Blossom Integrated Health And Behavioral Services Llc 338 Mill St Hagerstown MD 21740-6138 Ph: (240) 347-4494 |
| NPI Number | 1003653783 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003653783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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