All Medicaid billing entities listing BOLANOS, JEFF (MEMBER-MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $2.04M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NEW DESTINY HEALTH LLC | QUEEN CREEK, AZ | Mental Illness Community Based Residential Treatment Facility | $2.04M |