NPI: 1457583072 · LONGVIEW, TX 75601 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/15/2009
| Authorized Official | HEARD, SHESHIEKA (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 08/15/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 268 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 268 | 52 | $151K |