NPI: 1396443883 · BROOKLYN CENTER, MN 55429 · Early Intervention Provider Agency · NPI assigned 02/23/2023
| Authorized Official | GRAY, EDMOND (VICE PRESIDENT FOR ADMINISTRATION) |
| NPI Enumeration Date | 02/23/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 74 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 74 | 12 | $13K |