NPI: 1194568972 · MT PLEASANT, UT 84647 · Substance Abuse Rehabilitation Facility · NPI assigned 06/18/2024
| Authorized Official | SORENSEN, NATALEE (OFFICE MANAGER) |
| NPI Enumeration Date | 06/18/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 52 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 52 | 20 | $94K |