NPI: 1255792883 · CHEYENNE, WY 82001 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 03/09/2016
| Authorized Official | VILLENEUVE, GARY (BUSINESS DIRECTORR) |
| NPI Enumeration Date | 03/09/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 532 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 532 | 28 | $50K |