| NPI | 1972218477 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH PEACHTREE CITY |
| Entity Type | Organization |
| Authorized Contact | DAMILOLA MOHAMMED COO 904-440-4962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-04-01 |