NPI: 1114045390 · INDEPENDENCE, MO 64055 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/27/2007
98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
| Authorized Official | SANWOGOU, DANIEL (CEO) |
| NPI Enumeration Date | 03/27/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,801 | $1.83M |
| 2019 | 503 | $127K |