| NPI | 1801282637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS CORNELUIS BROOKS Chief Executive 313-768-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |