NPI | 1184269144 |
---|---|
Doing Business As | ELLIE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | GREGORY REID ADELSTEIN President 754-216-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-11-14 |
Last Update Date | 2024-05-21 |