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Organization
TEAM MENTAL HEALTH SERVICES INC.
Active
Organization
TEAM MENTAL HEALTH SERVICES INC.
Active
Other names
Team Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO POLLICELLA (CHIEF EXECUTIVE OFFICER)
(313) 274-3700
Entity
Organization
Contact information
Practice address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 626-2400
(313) 921-4125
Mailing address
290 TOWN CENTER DR, DEARBORN, MI 48126-2739
(313) 274-3700
(313) 274-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2023
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