| NPI | 1619611464 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAY PISCO Clinic Director 845-656-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-11-10 |