NPI: 1740918846 · GARDEN GROVE, CA 92843 · Case Management Agency · NPI assigned 08/08/2022
| Authorized Official | GREEN LONG, SHAKOYA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/08/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 40 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2051 | Supports brokerage, self-directed, waiver; per diem | 40 | 40 | $19K |