All Medicaid billing entities listing TIETZ, ORRIN (ADMINISTRATIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $2.56M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CLUB RECOVERY LLC | EDINA, MN | Substance Use Disorder Rehabilitation Clinic/Center | $2.56M |