NPI: 1245773357 · SAINT PAUL, MN 55104 · Child Mental Illness Respite Care · NPI assigned 11/21/2016
| Authorized Official | YANG, DIA (OWNER) |
| NPI Enumeration Date | 11/21/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 433 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5130 | Homemaker service, nos; per 15 minutes | 433 | 74 | $19K |