NPI: 1982148938 · FT WORTH, TX 76140 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 12/09/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $770.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| M0299 | 14 | 13 | $770.20 |