| NPI | 1225310089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STINES Associate General Counsel 313-324-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IA 3111) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |