NPI: 1124572235 · ANDOVER, MN 55304 · Community/Behavioral Health Agency · NPI assigned 08/05/2016
| Authorized Official | PHAN, THAO-HA (MEMBER) |
| NPI Enumeration Date | 08/05/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 606 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | 606 | 198 | $43K |