Organization
BLOOM BEHAVIOR AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PINNER (MEMBER)
(860) 917-0923
Entity
Organization
Contact information
Practice address
85 STONEHEIGHTS DR, WATERFORD, CT 06385-1975
(860) 917-0923
Mailing address
85 STONEHEIGHTS DR, WATERFORD, CT 06385-1975
(860) 917-0923
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-14-10399
CT
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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