OrganizationActive
Blossum Developmental Solutions, LLC
NPI 1003613241 · Case Manager/Care Coordinator · West New York, NJ
Provider details
- NPI number
- 1003613241
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Jamal Stephens, Ceo(856) 383-6253
Specialties & taxonomies
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522
Phone: (856) 383-6253
Approximate (ZIP-level) locationGet directions
Mailing address
5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.