All Medicaid billing entities listing FAIRBANKS, CLARISSE (OWNER, AUTHORIZED OFFICIAL) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $561.64 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PSYCHIATRIC WELLNESS CARE, LLC | WEST HARTFORD, CT | Adult Mental Health Clinic/Center | $561.64 |