| Durable Medical Equipment & Medical Supplies | 332B00000X | |
| Home Infusion | 251F00000X | |
| Intermediate Care Facility, Mental Illness | 310500000X | |
| Transportation Broker | 347E00000X | |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness | 3104A0625X | |
| Public Health or Welfare | 251K00000X | |
| Clinic/Center - Adult Day Care — Adult Day Care | 261QA0600X | |
| Early Intervention Provider Agency | 252Y00000X | |
| Day Training, Developmentally Disabled Services | 251C00000X | |
| Clinic/Center - Prison Health — Prison Health | 261QP2400X | |
| Case Management | 251B00000X | |
| In Home Supportive Care | 253Z00000X | |
| Non-emergency Medical Transport (VAN) | 343900000X | |
| Community/Behavioral Health | 251S00000X | Primary |
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