Polly Ely, Inc.
NPI #1609339811 in Tiburon, California
Provider Information
- NPI Number
- 1609339811
- Entity Type
- Organization
- Organization Name
- Polly Ely, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 13, 2019
- Last Updated
- Jan 23, 2021
Practice Location
- Address
- 145 ESPERANZA ST
- City
- Tiburon
- State
- California
- ZIP Code
- 94920-1914
- Phone
- (415) 233-6866
Authorized Official
- Name
- POLLY STARK ELY, MFT
- Title
- PRESIDENT
- Phone
- (415) 233-6866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Community/Behavioral Health |
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