| NPI | 1225808785 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH MA-MEDFORD-BOSTON AVENUE |
| Entity Type | Organization |
| Authorized Contact | ADITYA SRINIVAS Owner 585-309-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |