| NPI | 1629467204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIANCARLO President 586-445-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4301105998) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |