NPI: 1689098188 · VIENNA, MO 65582 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 02/05/2014
| Authorized Official | AUTEN, BRIAN (MANAGING MEMBER) |
| NPI Enumeration Date | 02/05/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,461 | $566K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 1,461 | 48 | $566K |