NPI: 1033715784 · NAMPA, ID 83651 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 12/08/2020
| Authorized Official | LEGG, TERRY (OWNER) |
| NPI Enumeration Date | 12/08/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 21 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | 21 | 12 | $2K |