BLOSSOM COMMUNITY SERVICES

Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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Contact Information

BLOSSOM COMMUNITY SERVICES

1911 WILLIMAX AVE
GASTONIA, NC 28054-7440

Phone: 704-780-3082
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Behavioral Health	251S00000X
Addiction (Substance Use Disorder)	101YA0400X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Mental Health	101YM0800X
Private Vehicle	347C00000X
Secured Medical Transport (VAN)	343800000X
Taxi	344600000X

Indicates primary specialty

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NPI Profile & details for BLOSSOM COMMUNITY SERVICES

NPI Number 1447734181

LBN Legal business name BLOSSOM COMMUNITY SERVICES

Authorized official LESLIE DUNBAR - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/19/2018

Last updated 12/10/2024 - More than a year ago

Identifiers

Medicaid

1447734181

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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