| Blossom Partnership Llc | |
|
610 Blossom Cir Dayton NJ 08810-2407 | |
| (609) 200-5772 | |
| Not Available |
| Full Name | Blossom Partnership Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 610 Blossom Cir, Dayton, New Jersey |
| Authorized Official Name and Position | Austin Mistretta (CO-OWNER) |
| Authorized Official Contact | 2014005902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Partnership Llc 174 Nassau St Po Box 275 Princeton NJ 08542-7005 Ph: () - | Blossom Partnership Llc 610 Blossom Cir Dayton NJ 08810-2407 Ph: (609) 200-5772 |
| NPI Number | 1972469336 |
|---|---|
| Provider Enumeration Date | 12/30/2025 |
| Last Update Date | 12/30/2025 |
| Certification Date | 12/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972469336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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