NPI: 1336790088 · MAPLEWOOD, MN 55117 · Substance Abuse Rehabilitation Facility · NPI assigned 09/24/2019
| Authorized Official | MIRREH, KINSI (CEO) |
| NPI Enumeration Date | 09/24/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 27 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2035 | Alcohol and/or other drug treatment program, per hour | 27 | 17 | $0.00 |