Organization
BLOSSOMS HOUSE OF RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI FIELDS (ADMINISTRATOR)
(443) 559-0450
Entity
Organization
Contact information
Practice address
900 CRAIN HWY S, GLEN BURNIE, MD 21061-3942
(443) 559-0450
Mailing address
1064 WISDOM CT, #9564, GLEN BURNIE, MD 21061-3966
(443) 559-0450
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2016
Last updated
12/06/2016
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