CLINICAL CONSULTANTS LIMITED LIABILITY COMPANY

Family Medicine

Code: 207Q00000X

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

Code: 261QM0801X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Clinical Medical Laboratory

Code: 291U00000X

Assisted Living Facility — Assisted Living, Mental Illness

Code: 3104A0625X