| NPI | 1801099494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE N NDASI Proprietor 248-943-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI D13424) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2020-08-22 |