NPI 1003613241
Blossum Developmental Solutions, LLC
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
Behavior Technician
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.