| NPI | 1477279651 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - NAPERVILLE |
| Entity Type | Organization |
| Authorized Contact | ELLIOTTE G LASLEY Owner 312-401-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-09-15 |