NPI: 1194214015 · PHOENIX, AZ 85029 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 05/07/2018
| Authorized Official | GRANDINETTI, YSABEAU (BILLING ADMINISTRATOR) |
| NPI Enumeration Date | 05/07/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 143 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 143 | 12 | $0.00 |