All Medicaid billing entities listing MCILVENNA, LISA (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $31K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FRESH AIRE SAMARITAN COUNSELING CENTER | MIDLAND, MI | Community/Behavioral Health Agency | $31K |