NPI: 1710235197 · HAMPTON, VA 23666 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/16/2012
| Authorized Official | DAVIS, SHARON (PRESIDENT) |
| NPI Enumeration Date | 08/16/2012 |
Other providers sharing the same authorized official: DAVIS, SHARON
| Provider | City | State | Total Paid |
|---|---|---|---|
| PALESTINE ISD | PALESTINE | TX | $1.47M |
| ATLAS REHAB AND WELLNESS CENTER LLC | YOUNGSTOWN | OH | $345K |
| WISE MIND, LLC | OWINGS MILLS | MD | $42K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 239 | $337K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 239 | 48 | $337K |