BREAKAWAY HEALTH CORPORATION

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

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

Code: 261QM0801X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

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

Code: 261QR0401X