JULIETTE FOWLER HOMES, 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

Residential Treatment Facility, Emotionally Disturbed Children

Code: 322D00000X