| NPI | 1609511856 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DEMETRIA RAMAKERS Owner 208-863-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-03-13 |