NPI: 1184990863 · WHITEVILLE, NC 28472 · Community/Behavioral Health Agency · NPI assigned 03/28/2012
| Authorized Official | TRAYLOR, JONATHAN (PRESIDENT) |
| NPI Enumeration Date | 03/28/2012 |
Other providers sharing the same authorized official: TRAYLOR, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| COASTAL COMMUNITY MANAGEMENT LLC | WHITEVILLE | NC | $74K |
| RANDOLPH MANAGEMENT COMPANY, INC. | ROANOKE | AL | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,061 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 1,061 | 150 | $80K |