| NPI | 1184313397 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH NEWTON |
| Entity Type | Organization |
| Authorized Contact | MARK V FALZONE Management Company 781-910-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-08-06 |