NPI: 1114419363 · EAGLE, ID 83616 · Community/Behavioral Health Agency · NPI assigned 06/04/2018
| Authorized Official | CORDERO, KIMBERLY (OWNER) |
| NPI Enumeration Date | 06/04/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 47 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 47 | 27 | $2K |