TAX ID	NPI	EFFECTIVE DATE 	
20-3854107	1972557916	09.01.2023	
			
SERVICE	TYPE	PER DIEM RATES	NOTES
INPATIENT	Adolescent Psych (ages 12-17)	"$1,128.00 "	All fees are inclusive of History and Physicals and Laboratory fees for all psychiatric and or chemical dependency treatments. Attending Physician fees are excluded.
INPATIENT	Adult Psych (age 18 and older)	"$1,105.00 "	All fees are inclusive of History and Physicals and Laboratory fees for all psychiatric and or chemical dependency treatments. Attending Physician fees are excluded.
INPATIENT	Detox	"$1,105.00 "	All fees are inclusive of History and Physicals and Laboratory fees for all psychiatric and or chemical dependency treatments. Attending Physician fees are excluded.
INPATIENT	Rehab	"$1,105.00 "	All fees are inclusive of History and Physicals and Laboratory fees for all psychiatric and or chemical dependency treatments. Attending Physician fees are excluded.
INTENSIVE OUTPATIENT	ALL AGES	$246.00 	All fees are inclusive of History and Physicals and Laboratory fees for all psychiatric and or chemical dependency treatments. Attending Physician fees are excluded.