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Organization

BLOSSOM CARE AND BEHAVIORAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAKEELAT A ADEOYE PMHNP-BC (PRESIDENT)
(202) 415-0285
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/12/2022
Last updated
04/12/2022
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