All Medicaid billing entities listing HOLUB, JACKIE (MANAGING DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 2 | $182K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SHADOW MOUNTAIN RECOVERY LLC. | RIO RANCHO, NM | Substance Abuse Rehabilitation Facility | $99K |
| 2 | SHADOW MOUNTAIN LLC. | TAOS, NM | Substance Abuse Rehabilitation Facility | $83K |