DIVINE 5 SERVICES LLP

Psychologist — Intellectual & Developmental Disabilities

Code: 103TM1800X

Case Management

Code: 251B00000X

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

Code: 261QM0801X

Secured Medical Transport (VAN)

Code: 343800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Day Training/Habilitation Specialist

Code: 373H00000X

Community/Behavioral Health

Code: 251S00000X