NPI: 1265943781 · GAITHERSBURG, MD 20877 · Community/Behavioral Health Agency · NPI assigned 10/24/2017
| Authorized Official | DIBONGE, HANNAH (OWNER) |
| NPI Enumeration Date | 10/24/2017 |
Other providers sharing the same authorized official: DIBONGE, HANNAH
| Provider | City | State | Total Paid |
|---|---|---|---|
| ALTA HEALTHCARE SERVICES, INC. | GAITHERSBURG | MD | $29K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 110 | $75K |
| 2020 | 290 | $214K |
| 2021 | 131 | $111K |
| 2022 | 25 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0044 | Supported housing, per month | 556 | 547 | $423K |