NPI: 1306261789 · WYANDOTTE, MI 48192 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 02/21/2014
| Authorized Official | DANCY, TOWANDA (HEAD SUPERVISOR) |
| Parent Organization | CHARLOTTE'S CARE |
| NPI Enumeration Date | 02/21/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,420 | $115K |
| 2019 | 2,464 | $285K |
| 2022 | 1,686 | $229K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 5,570 | 192 | $629K |