NPI: 1710097274 · BURNSVILLE, MN 55337 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/30/2006
100% of spending on code H2012 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | HACKMANN, TRACI (CEO/CLINICAL DIRECTOR) |
| NPI Enumeration Date | 08/30/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,919 | $785K |
| 2019 | 1,717 | $303K |