| NPI | 1124706791 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GASS Owner 760-799-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |