| NPI | 1386331189 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - FREDERICKSBURG |
| Entity Type | Organization |
| Authorized Contact | CLAYTON ELON SMITH Owner / Managing Member 540-446-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |