NPI: 1518585231 · NIXA, MO 65714 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 07/09/2020
| Authorized Official | BREWER, MATTHEW (OWNER OTR/L) |
| NPI Enumeration Date | 07/09/2020 |
Other providers sharing the same authorized official: BREWER, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| FELLSWAY PEDIATRICS, PC | MELROSE | MA | $11K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 263 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 263 | 100 | $6K |