Organization
BLOOMING THERAPEUTIC GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA CRUZ CCC-SLP, TSSLD/BE (OWNER/QUALITY ASSURANCE PERSONNEL)
(212) 795-7571
Entity
Organization
Contact information
Practice address
809 W 177TH ST APT 3A, NEW YORK, NY 10033-6600
(212) 795-7571
(212) 795-7571
Mailing address
809 W 177TH ST APT 3A, NEW YORK, NY 10033-6600
(212) 795-7571
(212) 795-7571
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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