| NPI | 1467817098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOWELL DOWELL Care Coordinator 313-396-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 1588855100) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |