| Case Management | 251B00000X | |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities | 261QD1600X | |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) | 261QM0801X | |
| Clinic/Center - Adult Mental Health — Adult Mental Health | 261QM0850X | |
| Clinic/Center - Multi-Specialty — Multi-Specialty | 261QM1300X | |
| Clinic/Center - Primary Care — Primary Care | 261QP2300X | |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | |
| Substance Abuse Rehabilitation Facility | 324500000X | |
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | Primary |