| NPI | 1871850800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ KAPLIN Chronic Disease Case Manager 248-593-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |