NPI: 1104597566 · NEWARK, NJ 07102 · Child Intellectual and/or Developmental Disabilities Respite Care · NPI assigned 09/24/2021
| Authorized Official | RAVENELL, DENVER (CEO) |
| NPI Enumeration Date | 09/24/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 193 | $135K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 193 | 50 | $135K |