| NPI | 1306568399 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - MIDLOTHIAN |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J MCNAMARA Owner & General Manager 804-334-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |