NPI | 1215618210 |
---|---|
Doing Business As | ELLIE MENTAL HEALTH-ANDOVER |
Entity Type | Organization |
Authorized Contact | NICOLE FRANCES FAGONE Clinical Director 617-256-7616 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-07-31 |