HEART MOUNTAIN CARE LLC

Day Training, Developmentally Disabled Services

Code: 251C00000X

Clinic/Center — Developmental Disabilities

Code: 261QD1600X

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

Assisted Living Facility — Assisted Living, Mental Illness

Code: 3104A0625X

Intermediate Care Facility, Mental Illness

Code: 310500000X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

In Home Supportive Care

Code: 253Z00000X