UNITED PRIMARY DIAGNOSTIC CENTER

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

Code: 261QM0801X

Clinic/Center — Primary Care

Code: 261QP2300X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Clinical Medical Laboratory

Code: 291U00000X

Substance Abuse Rehabilitation Facility

Code: 324500000X

Nurse Practitioner — Primary Care

Code: 363LP2300X

Nurse Practitioner — Community Health

Code: 363LC1500X