| NPI | 1003026709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABAH VELASCO Manager Of Claims And Technology 313-966-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |