Organization
TEAM MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA NICHOLSON MSW, LLMSW (CARE COORDINATOR)
(313) 736-0470
Entity
Organization
Contact information
Practice address
15 E KIRBY ST APT 317, DETROIT, MI 48202-4039
(313) 736-0470
Mailing address
15 E KIRBY ST APT 317, DETROIT, MI 48202-4039
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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