NPI: 1912167511 · PORT SAINT LUCIE, FL 34984 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 06/17/2008
100% of spending on code T2023 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | TATUM, YAMARIS (CEO) |
| NPI Enumeration Date | 06/17/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 458 | $363K |
| 2022 | 233 | $1.20M |
| 2023 | 261 | $1.44M |
| 2024 | 94 | $434K |