| NPI | 1619605706 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARCUS SILVA Managing Member 908-432-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-01-05 |