NPI: 1710482716 · CHATTANOOGA, TN 37411 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/29/2018
| Authorized Official | KIMBALL, ELIZABETH (DDP CO-OWNER) |
| NPI Enumeration Date | 03/29/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,484 | $915K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 1,484 | 85 | $915K |