NPI: 1528671633 · CORONA, CA 92882 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 08/28/2020
| Authorized Official | YOUNES, AMIRRA (ADMINISTRATOR) |
| NPI Enumeration Date | 08/28/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 51 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 51 | 26 | $140K |