NPI: 1710464086 · FORT WAYNE, IN 46803 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 07/19/2018
| Authorized Official | FERGUSON, TEI (DIRECTOR) |
| NPI Enumeration Date | 07/19/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 203 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 203 | 38 | $5K |