| NPI | 1699407460 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH OF MONTGOMERY COUNTY |
| Entity Type | Organization |
| Authorized Contact | SHAHZAD DASTGIR Owner 202-360-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-01-29 |