GROUNDED STARS LLC

Early Intervention Provider Agency

Code: 252Y00000X

Health Educator

Code: 174H00000X

Case Management

Code: 251B00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Prevention Professional

Code: 405300000X

Community/Behavioral Health

Code: 251S00000X