| NPI | 1346601838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DENISE COOK Nurse 313-989-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4703114372) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |