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Organization
BLOSSOM GROUP FLORIDA, LLC
Active
Organization
BLOSSOM GROUP FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA ARIAS (PROGRAM MANAGER)
(786) 828-0947
Entity
Organization
Contact information
Practice address
2124 NE 123RD ST, #220, NORTH MIAMI, FL 33181-3451
(786) 828-0947
Mailing address
2124 NE 123RD ST, #220, NORTH MIAMI, FL 33181-3451
(786) 828-0947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/15/2022
Last updated
07/10/2023
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