| NPI | 1700579398 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH SALEM |
| Entity Type | Organization |
| Authorized Contact | SHANNON BETTENCOURT Owner 207-415-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |