Organization
NEURO BLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAH MOHAMED (DIRECTOR)
(404) 932-9111
Entity
Organization
Contact information
Practice address
600 TWELVE OAKS CENTER DR STE 218, WAYZATA, MN 55391-4548
(404) 932-9111
Mailing address
600 TWELVE OAKS CENTER DR STE 218, WAYZATA, MN 55391-4548
(404) 932-9111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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