Organization
NEW MOON ECOTHERAPY PLLC
Active
Other names
New moon Ecotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
ARI BONAGOFSKI (OWNER)
(206) 552-8857
Entity
Organization
Contact information
Practice address
4501 15TH AVE S STE 102, SEATTLE, WA 98108-1874
(206) 552-8857
Mailing address
4501 15TH AVE S STE 102, SEATTLE, WA 98108-1874
(206) 552-8857
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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