NPI: 1124297536 · PROVIDENCE, RI 02904 · Exclusive Provider Organization · NPI assigned 02/29/2008
| Authorized Official | CLANCY, ANTHONY (SCHOOL DIRECTOR) |
| NPI Enumeration Date | 02/29/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,182 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2018 | Psychosocial rehabilitation services, per diem | 2,182 | 179 | $10K |