| NPI | 1861720609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLIN BROWN Vice President 248-996-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 716877) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MI 716877) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-23 |