NPI: 1740705177 · COEBURN, VA 24230 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/07/2017
| Authorized Official | TUCK, TERRI (CONSULTANT) |
| NPI Enumeration Date | 08/07/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 102 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 102 | 24 | $42K |