| NPI | 1386910958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE PORCHIA CEO/Director 313-718-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4704241852) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |