| NPI | 1932844131 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RANDI MCDERMOTT Owner 208-761-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-10 |