REFINERY COUNSELING SERVICES LLC

Professional and Management Development Training

Establishments in this category are primarly engaged in offering an array of short duration courses and seminars for management and professional development. Training for career development may be provided directly to individuals or through employers' training programs, and courses may be customized or modified to meet the special needs of customers. Instruction may be provided in diverse settings, such as the establishment's or client's training facilities, educational institutions, the workplace, or the home, and through diverse means, such as correspondence, television, the Internet, or other electronic and distance-learning methods. The training provided by these establishments may include the use of simulators and simulation methods.

Exam Preparation and Tutoring

This includes establishments primarily engaged in offering preparation for standardized examinations and/or academic tutoring services.

Illustrative Examples:

Academic tutoring services
Learning centers offering remedial courses
College board preparation centers
Professional examination review instruction

Educational Support Services

Establishments in this category are primarly engaged in providing non-instructional services that support educational processes or systems.

Illustrative Examples:

Educational consultants
Educational testing services
Educational guidance counseling services
Student exchange programs
Educational testing evaluation services

Offices of Mental Health Practitioners (except Physicians)

This category includes establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers.

Offices of All Other Miscellaneous Health Practitioners

This includes establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers.

Illustrative Examples:

Acupuncturists' (except MDs or DOs) offices
Hypnotherapists' offices
Dental hygienists' offices
Inhalation or respiratory therapists' offices
Denturists' offices
Midwives' offices
Dietitians' offices
Naturopaths' offices
Homeopaths' offices
Registered or licensed practical nurses' offices

Family Planning Centers

This category includes establishments with medical staff primarily engaged in providing a range of family planning services on an outpatient basis, such as contraceptive services, genetic and prenatal counseling, voluntary sterilization, and therapeutic and medically induced termination of pregnancy.

Illustrative Examples:

Birth control clinics
Fertility clinics
Childbirth preparation classes
Pregnancy counseling centers

Outpatient Mental Health and Substance Abuse Centers

This category includes establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary.

Illustrative Examples:

Outpatient alcoholism treatment centers and clinics (except hospitals)
Outpatient mental health centers and clinics (except hospitals)
Outpatient detoxification centers and clinics (except hospitals)
Outpatient substance abuse treatment centers and clinics (except hospitals)
Outpatient drug addiction treatment centers and clinics (except hospitals)

Home Health Care Services

Establishments in this category are primarly engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy.

Illustrative Examples:

Home health care agencies
Visiting nurse associations
Home infusion therapy services
In-home hospice care services

Residential Intellectual and Developmental Disability Facilities

This category includes establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons with intellectual and developmental disabilities. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling.

Residential Mental Health and Substance Abuse Facilities

Establishments in this category are primarly engaged in providing residential care and treatment for patients with mental health and substance abuse illnesses. These establishments provide room, board, supervision, and counseling services. Although medical services may be available at these establishments, they are incidental to the counseling, mental rehabilitation, and support services offered. These establishments generally provide a wide range of social services in addition to counseling.

Illustrative Examples:

Alcoholism or drug addiction rehabilitation
facilities (except licensed hospitals)
Psychiatric convalescent homes or hospitals
Mental health halfway houses
Residential group homes for the emotionally disturbed

Assisted Living Facilities for the Elderly

This includes establishments primarily engaged in providing residential and personal care services without nursing care for (1) the elderly or other persons who are unable to fully care for themselves and/or (2) the elderly or other persons who do not desire to live independently. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services.

Illustrative Examples:

Assisted living facilities for the elderly without nursing care
Rest homes without nursing care

Child and Youth Services

Establishments in this category are primarly engaged in providing nonresidential social assistance services for children and youth. These establishments provide for the welfare of children in such areas as adoption and foster care, drug prevention, life skills training, and positive social development.

Illustrative Examples:

Adoption agencies
Youth centers (except recreational only)
Child guidance organizations
Youth self-help organizations
Foster care placement services

Services for the Elderly and Persons with Disabilities

Establishments in this category are primarly engaged in providing nonresidential social assistance services to improve the quality of life for the elderly or persons with intellectual and/or developmental disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship.

Other Individual and Family Services

Establishments in this category are primarly engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, or persons with intellectual and/or developmental disabilities).

Illustrative Examples:

Community action services agencies
Marriage counseling services (except by offices of mental health practitioners)
Crisis intervention centers
Multi-purpose social services centers
Family social services agencies
Family welfare services
Self-help organizations (except for disabled persons, the elderly)
Suicide crisis centers
Hotline centers
Telephone counseling services

Emergency and Other Relief Services

Establishments in this category are primarly engaged in providing food, shelter, clothing, medical relief, resettlement, and counseling to victims of domestic or international disasters or conflicts (e.g., wars).