| NPI | 1326539917 |
|---|---|
| Doing Business As | THE ELLIS HOUSE GROUP |
| Entity Type | Organization |
| Authorized Contact | BONIEN SUE RODRIGUEZ COO 419-277-9843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH H483460) |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2018-05-20 |