| NPI | 1770368243 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TASHA JACKSON Clinic Director 856-357-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |