NPI: 1598884728 · DEXTER, MO 63841 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 03/28/2007
| Authorized Official | ALLEN, TERESA (MGR) |
| NPI Enumeration Date | 03/28/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 85 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2021 | Day habilitation, waiver; per 15 minutes | 85 | 12 | $9K |