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Organization

TEAM MENTAL HEALTH SERVICES, INC

Active
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) 274-4900
Mailing address
290 TOWN CENTER DR, DEARBORN, MI 48126-2739
(313) 274-3700
(313) 274-4900

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4695337
MI
Enumeration date
11/04/2014
Last updated
01/30/2023
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