Organization
TEAM MENTAL HEALTH SERVICES INC.
Active
Other names
Team Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO POLLICELLA (CEO)
(313) 274-3700
Entity
Organization
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Mailing address
290 TOWN CENTER DR STE 400, DEARBORN, MI 48126-2765
(313) 274-3700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4696337
—
MI
Enumeration date
08/08/2007
Last updated
01/30/2023
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