NPI: 1316553019 · DALLAS, TX 75240 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 09/17/2020
| Authorized Official | BRAZELL, JASON (COO) |
| NPI Enumeration Date | 09/17/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 29 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99409 | 29 | 28 | $0.00 |