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Organization
TEAM MENTAL HEALTH SERVICES
Active
Organization
TEAM MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA LAMB LBSW (PRESIDENT)
(313) 274-3700
Entity
Organization
Contact information
Practice address
921 HOWARD ST, DEARBORN, MI 48124-2210
(313) 274-3700
(313) 274-4900
Mailing address
921 HOWARD ST, DEARBORN, MI 48124-2210
(313) 274-3700
(313) 274-4900
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30770
BLUE CROSS BLUE SHIELD
MI
05
—
4695337
—
MI
Enumeration date
05/16/2006
Last updated
10/10/2013
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