| NPI | 1467153395 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | WILFRED ENRIQUE MARTINEZ CEO 305-606-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |