| NPI | 1548966864 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH CEDAR PARK |
| Entity Type | Organization |
| Authorized Contact | JASON FALLWELL Owner 520-975-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-13 |