NPI: 1285245407 · MESA, AZ 85213 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/11/2020
| Authorized Official | PADILLA, STEPHANIE (ADMINISTRATOR) |
| NPI Enumeration Date | 08/11/2020 |
Other providers sharing the same authorized official: PADILLA, STEPHANIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| PADILLA DENTAL LLC | ALBUQUERQUE | NM | $139K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 644 | $192K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 644 | 37 | $192K |