| NPI | 1518282201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YVETTE ELLERBE Owner 910-410-0459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NC 33577) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |