NPI: 1851696470 · PEORIA, AZ 85382 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 01/12/2011
| Authorized Official | MACIAS, RICARDO (CEO) |
| NPI Enumeration Date | 01/12/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 238 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 238 | 28 | $85K |