NPI: 1962677088 · MASON CITY, IA 50401 · Community/Behavioral Health Agency · NPI assigned 04/29/2008
| Authorized Official | ZIMMERMAN, KENNETH (MANAGER) |
| NPI Enumeration Date | 04/29/2008 |
Other providers sharing the same authorized official: ZIMMERMAN, KENNETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| FOUNTAIN HOUSE, INC. | NEW YORK | NY | $95K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 308 | $10K |