WELLSPACE HEALTH

Case Manager/Care Coordinator

Code: 171M00000X

Supports Brokerage

Code: 251X00000X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Respite Care

Code: 385H00000X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X