| NPI | 1679721641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMICA SYMIRIA HARPER Therapist 313-872-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6801087896) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |