PRIZM BEHAVIORAL SERVICES, PC

Clinic/Center

Code: 261Q00000X

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

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Medical Specialty

Code: 261QM2500X

Preferred Provider Organization

Code: 305R00000X