Organization
NUI LOA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LOFFREDO (PRESIDENT)
(313) 515-6200
Entity
Organization
Contact information
Practice address
502 PEMBERTON, GROSSE POINTE PARK, MI 48230
(313) 515-6200
Mailing address
502 PEMBERTON, GROSSE POINTE PARK, MI 48230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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