| NPI | 1235910159 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH-WEST VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL PALKO Owner 724-554-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-11-02 |