NPI: 1245757772 · COTTAGE GROVE, OR 97424 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 08/25/2017
| Authorized Official | MASTIN, THERESE (QUALITY MANAGEMENT DIRECTOR) |
| NPI Enumeration Date | 08/25/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 49 | 12 | $3K |