NPI: 1568914927 · WILLARD, MO 65781 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 11/01/2016
| Authorized Official | THOENEN, PEGGY (COUNSELOR) |
| NPI Enumeration Date | 11/01/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 24 | 12 | $1K |