NPI: 1053908350 · MARICOPA, AZ 85138 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 12/22/2020
| Authorized Official | KYAMBADDE, SOLOMON (ADMINISTRATOR) |
| NPI Enumeration Date | 12/22/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 43 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 43 | 14 | $42K |