NPI: 1427385632 · DAYTONA BEACH, FL 32114 · Voluntary or Charitable Agency · NPI assigned 11/09/2009
| Authorized Official | BROXTON, TERESA (PROGRAM MANAGER) |
| NPI Enumeration Date | 11/09/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 26 | 25 | $2K |