NPI: 1104973148 · FORT DODGE, IA 50501 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 01/04/2007
| Authorized Official | KEEFE, DAUN (DIRECTOR OF CLINICAL SERVICES) |
| NPI Enumeration Date | 01/04/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 36 | 12 | $2K |