LONE STAR STATE HEALTH

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

Code: 261QM0801X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Community/Behavioral Health

Code: 251S00000X

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Case Management

Code: 251B00000X