CAMELLIA PLACE HEALTHCARE SERVICES LLC

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Nurse Practitioner — Family

Code: 363LF0000X

Nurse Practitioner — Primary Care

Code: 363LP2300X

Clinic/Center — Primary Care

Code: 261QP2300X