NPI: 1669288080 · POCATELLO, ID 83201 · Community/Behavioral Health Agency · NPI assigned 12/10/2024
| Authorized Official | OURADA, MELISSA (OWNER) |
| NPI Enumeration Date | 12/10/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 56 | $17K |
| 2021 | 50 | $20K |
| 2023 | 26 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 132 | 38 | $56K |