| NPI | 1194009530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PULLY Billings/Claims Supervisor 810-257-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802086924) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-12-28 |