NPI: 1154108272 · HAWTHORNE, NJ 07506 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 09/12/2023
| Authorized Official | MICKUS, KIMBERLY (OWNER) |
| NPI Enumeration Date | 09/12/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 559 | $148K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 559 | 75 | $148K |