Organization
TEAM WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA SOUTH (HUMAN RESOURCE DIRECTOR)
(313) 274-3700
Entity
Organization
Contact information
Practice address
14799 DIX-TOLEDO RD, SOUTHGATE, MI 48915
(734) 324-8326
(734) 324-8327
Mailing address
921 HOWARD ST, DEARBORN, MI 48124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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