| NPI | 1730397597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERMAISH ALI President 248-773-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 236793) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |