Whalio Doctors

NPI 1003613241

Blossum Developmental Solutions, LLC

Organisation Case Manager/Care Coordinator West New York, NJ

Practice location

Address
5016 Bergenline Ave Unit 2, West New York, NJ 07093-5522
Phone
(856) 383-6253

Authorised official

Name
Jamal S Stephens
Title
Ceo
Phone
(856) 383-6253

Registered specialties (2)

Case Manager/Care Coordinator Primary
Other Service Providers Taxonomy 171M00000X
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003613241
Entity type
Organization
NPI issued
26 Feb 2025
Record last updated
26 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.