BEYOND THE VILLAGE BEHAVIOR HEALTH SERVICES LLC

Community/Behavioral Health

Code: 251S00000X

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

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Case Manager/Care Coordinator

Code: 171M00000X

Case Management

Code: 251B00000X