NPI: 1407440134 · LAMAR, CO 81052 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 02/23/2021
| Authorized Official | FIENE, KRISTINA (FINANCE/HR MANAGER) |
| NPI Enumeration Date | 02/23/2021 |
Other providers sharing the same authorized official: FIENE, KRISTINA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHEASTERN DEVELOPMENTAL SERVICES, INC | LAMAR | CO | $388K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 253 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 253 | 214 | $7K |