NPI: 1114083474 · CEDAR RAPIDS, IA 52404 · Psychiatric Residential Treatment Facility · NPI assigned 12/29/2006
| Authorized Official | HUMISTON, JEFF (C.F.O.) |
| NPI Enumeration Date | 12/29/2006 |
Other providers sharing the same authorized official: HUMISTON, JEFF
| Provider | City | State | Total Paid |
|---|---|---|---|
| TANAGER PLACE | CEDAR RAPIDS | IA | $31.38M |
| TANAGER PLACE | CEDAR RAPIDS | IA | $14.46M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 391 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99490 | Ccm add 20min | 391 | 391 | $0.00 |