NPI | 1497453187 |
---|---|
Doing Business As | ELLIE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | BRYANT FORIEST Director Of Marketing And Outreach 336-266-3289 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-02-21 |
Last Update Date | 2023-10-16 |