NPI: 1912434770 · PONTIAC, MI 48341 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 05/11/2017
| Authorized Official | LEONARD, DEMETRA (PRESIDENT) |
| NPI Enumeration Date | 05/11/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 358 | $566K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 179 | 130 | $302K |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 179 | 130 | $264K |