NPI: 1568049781 · TUCSON, AZ 85704 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 03/24/2021
| Authorized Official | FUANGUNYI, MICHAEL (CEO) |
| NPI Enumeration Date | 03/24/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 64 | $66K |
| 2022 | 152 | $221K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 216 | 92 | $287K |