| NPI | 1023425931 |
|---|---|
| Doing Business As | JELLISTHERAPY & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN DARRIS ELLIS Owner/Therapist 385-244-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 8449538-3904) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-10-11 |