NPI: 1902161490 · CHICAGO, IL 60616 · Professional Counselor · NPI assigned 07/10/2012
| Authorized Official | PRUITT, JERED (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 07/10/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 86 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5130 | Homemaker service, nos; per 15 minutes | 86 | 79 | $125K |