Organization
TEAM WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L PARKER LLBSW (CARE COORDINATOR)
(248) 298-6430
Entity
Organization
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802089312
MI
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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