| NPI | 1588361067 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH AVON |
| Entity Type | Organization |
| Authorized Contact | ERIN MASTERSON President 317-340-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-08-06 |