| NPI | 1609327436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANERIO HILL CEO 586-453-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI E7486Y) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |