NPI: 1902518103 · BALTIMORE, MD 21218 · Substance Abuse Rehabilitation Facility · NPI assigned 12/19/2022
| Authorized Official | LIVELY, NICOLE (COO) |
| NPI Enumeration Date | 12/19/2022 |
Other providers sharing the same authorized official: LIVELY, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| PHOENIX HEALTH SERVICES | BALTIMORE | MD | $749K |
| PHOENIX HEALTH SERVICES | BALTIMORE | MD | $660K |
| PHOENIX HEALTH SERVICES | BALTIMORE | MD | $92K |
| PHOENIX HEALTH SERVICES | BALTIMORE | MD | $87K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 26 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0001 | Alcohol and/or drug assessment | 26 | 26 | $6K |