| NPI | 1114641917 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PENRICE President 267-460-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |