THE GOOD SAMARITAN HOUSE LLC

Behavior Analyst

Code: 103K00000X

Case Management

Code: 251B00000X

Community/Behavioral Health

Code: 251S00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Rehabilitation

Code: 261QR0400X

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Code: 332800000X

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

Code: 261QM0801X