| NPI | 1386881050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA DIXON CEO 313-824-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI R 120744734409) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |