NPI: 1861187536 · PHOENIX, AZ 85021 · Clinic/Center · NPI assigned 04/10/2023
| Authorized Official | JACKSON, GARREN (MANAGING MEMBER) |
| NPI Enumeration Date | 04/10/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 159 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 159 | 12 | $15K |