| NPI | 1265111645 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JORDAN FAIMAN Clinic Director 856-298-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-02-19 |