NPI: 1811043524 · GILBERT, AZ 85297 · Psychiatric Residential Treatment Facility · NPI assigned 01/26/2007
| Authorized Official | ASHU, SAMUEL (ASSISTANT ADMINISTRATOR) |
| NPI Enumeration Date | 01/26/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 27 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 27 | 12 | $40K |