LIFELINE BEHAVIORAL HEALTH, LLC

Psychiatric Residential Treatment Facility

Code: 323P00000X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Substance Abuse Rehabilitation Facility — Substance Abuse Treatment, Children

Code: 3245S0500X