Organization
ST JUDE THERAPY CENTER STAFFING
Active
Other names
St Jude Psychiatric and Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE OSAGIE UKPEBOR NP (PMHNP-BC)
(313) 681-2209
Entity
Organization
Contact information
Practice address
27200 LAHSER RD STE 100, SOUTHFIELD, MI 48034-2137
(313) 681-2209
Mailing address
27200 LAHSER RD STE 100, SOUTHFIELD, MI 48034-2137
(313) 681-2209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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