NPI: 1255922563 · ROCKAWAY, NJ 07866 · Developmental Disabilities Clinic/Center · NPI assigned 01/29/2021
| Authorized Official | PHILLIPS, CHRISTOPHER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/29/2021 |
Other providers sharing the same authorized official: PHILLIPS, CHRISTOPHER
| Provider | City | State | Total Paid |
|---|---|---|---|
| NORTHWEST PEDIATRIC CRITICAL CARE PC | PORTLAND | OR | $644K |
| WHITE BEAR FOOT AND ANKLE CLINIC INC | WHITE BEAR LAKE | MN | $237K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 379 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 379 | 77 | $58K |