NPI: 1417723529 · CORONA, NY 11368 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 11/29/2023
| Authorized Official | LU, JINLAN (MANAGER) |
| NPI Enumeration Date | 11/29/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 4,721 | $488K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5102 | Day care services, adult; per diem | 4,721 | 339 | $488K |