NPI: 1003401910 · FORT BRAGG, CA 95437 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/02/2021
| Authorized Official | LARIMER BURTIS, LISA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 03/02/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 110 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | 110 | 38 | $11K |