NPI: 1104020452 · HERMITAGE, TN 37076 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 06/12/2007
| Authorized Official | O'CONNOR, KATHLEEN (PRESIDENT) |
| NPI Enumeration Date | 06/12/2007 |
Other providers sharing the same authorized official: O'CONNOR, KATHLEEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEDICAL SERVICES SERVICES, LLC. | ALBUQUERQUE | NM | $66K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 829 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2022 | Case management, per month | 829 | 828 | $89K |