Provider Demographics
NPI:1851652408
Name:TOUCHSTONE RECOVERY
Entity type:Organization
Organization Name:TOUCHSTONE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFFREDO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC, CAADC
Authorized Official - Phone:313-515-6200
Mailing Address - Street 1:13249 PENNSYLVANIA RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-6637
Mailing Address - Country:US
Mailing Address - Phone:734-250-8056
Mailing Address - Fax:
Practice Address - Street 1:13249 PENNSYLVANIA RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-6637
Practice Address - Country:US
Practice Address - Phone:734-250-8056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI823173251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health