NPI: 1356092860 · PRESCOTT, AZ 86305 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 01/17/2022
| Authorized Official | WILLIAMS, VAUN (COO) |
| NPI Enumeration Date | 01/17/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 107 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9480 | Intensive outpatient psychiatric services, per diem | 107 | 12 | $40K |