| NPI | 1477277192 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH OF MID-CITIES |
| Entity Type | Organization |
| Authorized Contact | GRACIELA M VALENZUELA Clinic Director 817-682-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-06-28 |