# TEAM WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942733472
- **Authorized official:** TAMMY L PARKER LLBSW (CARE COORDINATOR)
- **Authorized official phone:** (248) 298-6430

## Contact information

- **Practice address:** 2925 RUSSELL ST, DETROIT, MI 48207-4825
- **Practice address phone:** (313) 396-5300
- **Mailing address:** 2925 RUSSELL ST, DETROIT, MI 48207-4825
- **Mailing address phone:** (313) 396-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6802089312 | MI | Yes |

## Other

- **Enumeration date:** 04/11/2017
- **Last updated:** 04/11/2017