FAMILY CARE FOR CHILDREN & YOUTH, INC.

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

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X