All Medicaid billing entities listing PETTAWAY, THERESA (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $667K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PETTAWAY PURSUIT FOUNDATION | UPPER DARBY, PA | Mental Health Counselor | $667K |