New Moon Ecotherapy Pllc
NPI #1124890165 in Seattle, Washington
Provider Information
- NPI Number
- 1124890165
- Entity Type
- Organization
- Organization Name
- New Moon Ecotherapy Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 4501 15TH AVE S STE 102
- City
- Seattle
- State
- Washington
- ZIP Code
- 98108-1874
- Phone
- (206) 552-8857
Authorized Official
- Name
- ARI BONAGOFSKI
- Title
- OWNER
- Phone
- (206) 552-8857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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