| NPI | 1194576967 |
|---|---|
| Other Name | KERI T ELLIS |
| Entity Type | Organization |
| Authorized Contact | LAURA J DURHAM Medical Biller 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-05-20 |