| NPI | 1093420960 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | REBECCA STEVENS Clinic Director 616-427-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-03-22 |