NPI: 1437733979 · CHARLESTON, IL 61920 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 05/11/2021
| Authorized Official | AMBROSINO, MARY (CEO) |
| NPI Enumeration Date | 05/11/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 54 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 54 | 25 | $5K |