NPI: 1811193915 · ORANGEBURG, NY 10962 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 06/25/2007
| Authorized Official | CORVALAN, MARCY (ACCOUNTANT) |
| NPI Enumeration Date | 06/25/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 143 | $508K |
| 2021 | 103 | $375K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2018 | Psychosocial rehabilitation services, per diem | 246 | 246 | $883K |