| NPI | 1407556483 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH MARLBOROUGH |
| Entity Type | Organization |
| Authorized Contact | STACIE LYNN PERREAULT Clinic Director 774-545-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |