| NPI | 1750190245 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH FT COLLINS |
| Entity Type | Organization |
| Authorized Contact | DAVID R BRUNICK Owner 303-908-5560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |