| NPI | 1841536265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID BEE Case Manager 231-933-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6802065562) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |