NPI | 1265147318 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYTIE LYNNE OCHENKOWSKI Owner Of New Moon Rising LLC 517-477-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-01-23 |
Last Update Date | 2025-07-07 |