Provider First Line Business Practice Location Address:
14799 DIX - TOLEDO
Provider Second Line Business Practice Location Address:
TEAM MENTAL HEALTH SVCS
Provider Business Practice Location Address City Name:
SOUTHGATE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-324-8326
Provider Business Practice Location Address Fax Number:
734-324-8327
Provider Enumeration Date:
06/03/2013