| NPI | 1043368558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE DOWNEY Executive Director 248-547-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-06-26 |