| NPI | 1407289812 |
|---|---|
| Former Legal Business Name | CNS |
| Entity Type | Organization |
| Authorized Contact | WANDA PETTWAY-NORRIS Supervisor 248-745-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 680175248) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |