| NPI | 1750790234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CICHON Clinical Diretor 313-921-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6803084997) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |