Organization
BLOOM BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ORTEGA (CHIEF EXECUTIVE OFFICER)
(562) 972-7604
Entity
Organization
Contact information
Practice address
209 N N ST, TULARE, CA 93274-4228
(559) 656-1800
(559) 656-1500
Mailing address
950 N JENNIFER WAY, PORTERVILLE, CA 93257-9031
(562) 728-3651
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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