NPI: 1912440876 · JENNINGS, MO 63136 · Federally Qualified Health Center (FQHC) · NPI assigned 11/28/2016
| Authorized Official | ARCHIBALDCLABON, ANGELA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 11/28/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $579.64 |
| 2022 | 29 | $719.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient | 55 | 24 | $1K |