| NPI | 1215488689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADA JOUDI Pharmacist 313-855-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 5301011028) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |