PROVIDENCE LIVING LLC

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Counselor — Mental Health

Code: 101YM0800X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Substance Abuse Rehabilitation Facility

Code: 324500000X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X