NPI: 1407499270 · BOISE, ID 83705 · Community/Behavioral Health Agency · NPI assigned 10/23/2019
| Authorized Official | GRAY, KENTON (OWNER) |
| NPI Enumeration Date | 10/23/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 168 | $14K |
| 2022 | 178 | $15K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 346 | 149 | $29K |