TEXAS NORTHSTREAM WELLCARE LLC

Case Management

Code: 251B00000X

Community/Behavioral Health

Code: 251S00000X

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

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Clinic/Center — Recovery Care

Code: 261QR0800X

Psychologist — Cognitive & Behavioral

Code: 103TB0200X