| NPI | 1568123966 |
|---|---|
| Doing Business As | ELC MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JESSIE COSTLEY Credentialing Specialist 443-548-3733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2023-03-24 |