NPI: 1801161427 · ROBBINSDALE, MN 55422 · Substance Abuse Rehabilitation Facility · NPI assigned 03/14/2012
| Authorized Official | MOORE, DERRYCK (CEO) |
| NPI Enumeration Date | 03/14/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 549 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2035 | Alcohol and/or other drug treatment program, per hour | 549 | 59 | $12K |