NPI: 1225469844 · OLIVETTE, MO 63132 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 50 | 39 | $4K |