NPI: 1336278423 · HAZELWOOD, MO 63042 · Methadone Clinic · NPI assigned 03/05/2007
| Authorized Official | GARDINE, CHERYL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 33 | 12 | $0.00 |