| NPI | 1346680345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA JOI BYRD Crisis Interventionist Ii 248-977-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6801090900) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |