| NPI | 1427599471 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ALESHA D JONES Social Worker 313-784-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6802088487) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-04-17 |