Blossom Community Services Inc

LBN: Blossom Community Services
Blossom Community Services Inc is an health care organization with primary practice located at 1911 Willimax Ave , Gastonia NC 28054-7440. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Blossom Community Services can be contacted via phone (704) 780-3082, or through Dunbar, Leslie Danielle via phone (704) 780-3082.

Contact Information

Primary practice address
1911 Willimax Ave Gastonia NC 28054-7440
Phone: (704) 780-3082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunbar, Leslie Danielle
Phone: (704) 780-3082

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1447734181
LBN Legal business name Blossom Community Services
DBA Doing business as Blossom Community Services Inc
Authorized official Dunbar, Leslie Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2018
Last updated Feb 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447734181 NPPES
North Carolina MEDICAID 1447734181

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