NPI: 1346840261 · CHARLOTTE, NC 28214 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 10/29/2020
| Authorized Official | JACKSON, JALISA (DIRECTOR) |
| NPI Enumeration Date | 10/29/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 387 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2012 | Behavioral health day treatment, per hour | 387 | 32 | $71K |