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Blossom Community Services
Mental Illness Community Based Residential Treatment Facility in Gastonia, North Carolina
NPI 1447734181

Blossom Community Services is a Mental Illness Community Based Residential Treatment Facility based in Gastonia, NC. Blossom Community Services practices in Gastonia, NC. The NPI Number for Blossom Community Services is 1447734181 and holds a License No. (North Carolina).

The current practice location address for Blossom Community Services is 1911 Willimax Ave, Gastonia, NC and can be reached out via phone at 704-780-3082.

Location: 1911 Willimax Ave, Gastonia, NC, 28054-7440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447734181
Provider Name
Blossom Community Services
Credential
Provider Entity Type
Organization
Address
1911 Willimax Ave, Gastonia, NC, 28054-7440
Phone Number
704-780-3082
Fax Number
Provider Enumeration Date
09/19/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447734181 05 NC
institution
Provider Business Practice Location Address Details
Address
1911 Willimax Ave
City
Gastonia
State
North Carolina
Zip
28054-7440
Phone Number
704-780-3082
Fax Number
person
Provider Business Mailing Address Details
Address
1911 Willimax Ave
City
Gastonia
State
North Carolina
Zip
28054-7440
Phone Number
704-780-3082
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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