NPI: 1689315707 · ROANOKE, VA 24019 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 04/05/2022
| Authorized Official | CALHOUN-SMITH, NICOLE (DIRECTOR) |
| NPI Enumeration Date | 04/05/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 58 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 58 | 12 | $144K |