| NPI | 1255459160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA EILEEN BROWN Physican 248-557-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4301045361) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-02-04 |