| NPI | 1538533138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TRYLCH Licensed Psycholgist 989-631-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6301001438) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |