NPI: 1124048657 · OAKDALE, MN 55128 · Substance Abuse Rehabilitation Facility · NPI assigned 07/20/2006
| Authorized Official | BERTELSEN, DIANNE (OWNER) |
| NPI Enumeration Date | 07/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 280 | $2K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| H2035 | Alcohol and/or other drug treatment program, per hour | 280 | 42 | $2K |