| NPI | 1992410716 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH-RALEIGH |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SIMON Clinic Director 704-991-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-03-12 |