Provider First Line Business Practice Location Address:
2925 RUSSELL ST.
Provider Second Line Business Practice Location Address:
TEAM MENTAL HEALTH SERVICES
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-396-5353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2015