FAIR HAVEN COMMUNITY HEALTH CLINIC, INC

Dentist — General Practice

Code: 1223G0001X

Dental Hygienist

Code: 124Q00000X

Clinic/Center — Dental

Code: 261QD0000X

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

Code: 261QM0801X

Advanced Practice Midwife

Code: 367A00000X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X