| 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 |