| NPI | 1538999784 |
|---|---|
| Former Legal Business Name | ST JUDE PSYCHIATRIC AND THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDE OSAGIE UKPEBOR Pmhnp Bc 313-681-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |