| NPI | 1881389906 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - CLARKSTON |
| Entity Type | Organization |
| Authorized Contact | GERALD GOMES Clinic Owner 586-675-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-02-06 |