| NPI | 1841390531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE PERRY Clinical Therapist 313-528-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6801086770) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2008-06-24 |