New Moon Wellness INC.
Social Worker, Clinical in Encino, CA. Organization (NPI-2).
NPI number1164074902
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1164074902
- Entity type
- Organization (NPI-2)
- Legal business name
- New Moon Wellness INC.
- Organization subpart
- No
- Enumeration date
- Jul 11, 2019
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
16661 Ventura Blvd Ste 400Encino, CA 91436-1925
Phone 818-579-2258
Mailing address
11054 Ventura Blvd # 245Studio City, CA 91604-3546
Phone 818-579-2258
Authorized official
Natalie Madriz
Co Founder
8185792258
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