TRANSITIONAL RECOVERY SERVICES LLC

In Home Supportive Care

Code: 253Z00000X

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

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Code: 332800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Community/Behavioral Health

Code: 251S00000X