| NPI | 1881060325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA STEFANSKI Human Resource Associate 734-458-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |