NPI: 1063559466 · KANSAS CITY, MO 64133 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 02/01/2007
| Authorized Official | MANGE, DIANA (CHAIRPERSON) |
| NPI Enumeration Date | 02/01/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 827 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 827 | 135 | $27K |