NPI: 1174860134 · HIGHLAND PARK, MI 48203 · Community/Behavioral Health Agency · NPI assigned 01/10/2013
| Authorized Official | BURKS, BLAINE (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 01/10/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 102 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 102 | 73 | $9K |