TARZANA TREATMENT CENTERS, INC.

Case Manager/Care Coordinator

Code: 171M00000X

Supports Brokerage

Code: 251X00000X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Pharmacy — Clinic Pharmacy

Code: 3336C0002X

Substance Abuse Rehabilitation Facility

Code: 324500000X