NPI | 1770971269 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA J PINKINS MILLEDGE President/CEO 313-910-6684 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |