| NPI | 1265290886 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SARAH ANN PREVELIGE Clinic Director 508-478-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-10-25 |