All Medicaid billing entities listing BROADAWAY, TAMBGRA (CLINICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| North Carolina | 1 | $50K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | INNOVATIVE COUNSELING SERVICES | CHARLOTTE, NC | Counselor | $50K |