NPI: 1609130418 · EAGLE MOUNTAIN, UT 84005 · Substance Abuse Rehabilitation Facility · NPI assigned 06/26/2012
| Authorized Official | BOBERG, DARRON (PRESIDENT/OWNER) |
| NPI Enumeration Date | 06/26/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 213 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 213 | 13 | $49K |