NPI: 1700021722 · PORTSMOUTH, VA 23704 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 12/04/2008
| Authorized Official | MACK-MATTHEWS, KIMBERLEE (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/04/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 131 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 131 | 63 | $171K |