EPIPHANY FAMILY SERVICES, LLC

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

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinical Medical Laboratory

Code: 291U00000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Private Vehicle

Code: 347C00000X

Community/Behavioral Health

Code: 251S00000X