| Team Mental Health Services, Inc | |
|
2925 Russell St Detroit MI 48207-4825 | |
| (313) 396-5300 | |
| (313) 274-4900 |
| Full Name | Team Mental Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2925 Russell St, Detroit, Michigan |
| Authorized Official Name and Position | Antonio Pollicella (CEO) |
| Authorized Official Contact | 3132743700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Mental Health Services, Inc 290 Town Center Dr Dearborn MI 48126-2739 Ph: (313) 274-3700 | Team Mental Health Services, Inc 2925 Russell St Detroit MI 48207-4825 Ph: (313) 396-5300 |
| NPI Number | 1851796734 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851796734 | NPI | - | NPPES |
| 4695337 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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