NPI 1003653783

Blossom Integrated Health and Behavioral Services LLC

Organisation Multi-Specialty Clinic/Center Hagerstown, MD

Practice location

Address: 338 Mill St, Hagerstown, MD 21740-6138
Phone: (240) 347-4494

Authorised official

Name: Ihuoma Marvelous Udeagha
Title: Pmhnp
Phone: (240) 347-4497

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1003653783
Entity type: Organization
NPI issued: 10 Jul 2024
Record last updated: 10 Jul 2024

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.