| NPI | 1497080311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ELAINE SCHONBERG Psychologist 248-613-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6301012746) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |