# BLOSSOM CARE AND BEHAVIORAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134861859
- **Authorized official:** WAKEELAT A ADEOYE PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (443) 200-3653

## Contact information

- **Practice address:** 1657 WHITEHEAD CT, BALTIMORE, MD 21207-4037
- **Practice address phone:** (443) 200-3653
- **Mailing address:** 1657 WHITEHEAD CT, BALTIMORE, MD 21207-4037
- **Mailing address phone:** (443) 200-3653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 04/12/2022