| NPI | 1124544457 |
|---|---|
| Professional Name | ELLIS RAY BUTLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS20060) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |