NPI | 1124890165 |
---|---|
Doing Business As | NEW MOON ECOTHERAPY |
Entity Type | Organization |
Authorized Contact | ARI BONAGOFSKI Owner 206-552-8857 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-10-24 |
Last Update Date | 2023-10-24 |