NPI: 1083725832 · SIERRA VISTA, AZ 85635 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 08/31/2006
97% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | LACEY, WILLIAM (CEO/ADMINISTRATOR) |
| NPI Enumeration Date | 08/31/2006 |
Other providers sharing the same authorized official: LACEY, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| MARY'S MISSION & DEVELOPMENTAL CENTER, INC. | MESA | AZ | $6.10M |
| MARY'S MISSION & DEVELOPMENTAL CENTER, INC. | HEREFORD | AZ | $146K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 123 | $346K |
| 2019 | 167 | $366K |
| 2020 | 519 | $708K |
| 2021 | 790 | $585K |
| 2023 | 153 | $427K |