ITOJU HEALTHCARE SERVICES, 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

Clinic/Center — Rehabilitation

Code: 261QR0400X

Clinic/Center — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Code: 261QR0401X

Community/Behavioral Health

Code: 251S00000X