Provider Directory for Members. HealthChoices NorthCentral Network

Transcription

1 Provider Directory for Members HealthChoices NorthCentral Network July 2014

2 Table of Contents How To Use This Directory...1 Rehabilitation Services for Children and Adolescents...3 BHRSCA Evaluation Services...7 Blended Case Management...14 Clozaril Support Services...16 Community Residential Rehab - Group Home...18 Community Residential Rehab - Host Home...19 Drug & Alcohol Buprenorphine Treatment...20 Drug & Alcohol Case Coordination...21 Drug & Alcohol Case Management...22 Drug & Alcohol Certified Recovery Specialist...23 Drug & Alcohol Halfway House...24 Drug & Alcohol Inpatient Detox...25 Drug & Alcohol Inpatient Rehab...26 Drug & Alcohol Intensive Outpatient...27 Drug & Alcohol Level of Care Assessment...30 Drug & Alcohol Methadone Maintenance...32 Drug & Alcohol Non-hospital Detox...33 Drug & Alcohol Non-hospital Rehab...34 Drug & Alcohol Outpatient...36 Drug & Alcohol Partial Hospitalization...41 Electroconvulsive Therapy - Inpatient...42 Electroconvulsive Therapy - Outpatient...43 Family-based Mental Health Services...44 Functional Behavioral Assessment - Certified BSC...46 General Hospital - Lab Services...50 Inpatient Mental Health...51 Intensive Case Management...53 Mental Health Crisis - Mobile...54 Mental Health Crisis - Residential...55 Mental Health Crisis - Telephone...56 Mental Health Crisis - Walk-in...57 Mental Health Outpatient...58 Mental Health Partial Hospitalization...78 Mobile Medication...82 Mobile Mental Health Treatment...83 Neuropsychological Testing...84 Peer Support Specialist...89 Psychiatric Rehabilitation - Clubhouse...90 Psychiatric Rehabilitation - Mobile...91 Psychiatric Rehabilitation - Site-based...92 Psychological Testing...93 Residential Treatment Facility - JCAHO Residential Treatment Facility - Non-JCAHO Resource Coordination Telepsychiatry Alphabetical Index...106

3 How to use the Provider Directory for Members Mental Health and substance abuse (or chemical dependency) services are called behavioral health services. This directory lists the services, organizations and individuals that provide behavioral health care for people who are enrolled in Medical Assistance and who live in Bradford, Cameron, Centre, Clarion, Clearfield, Columbia, Elk, Forest, Huntingdon, Jefferson, Juniata, McKean, Mifflin, Montour, Northumberland, Potter, Schuylkill, Snyder, Sullivan, Tioga, Union, Warren, and Wayne Counties. Please be aware that the provider network can change at any time. In order to get the most up-to-date information, you should contact Member Services at the number(s) listed below. These services are provided through Community Care, a non-profit recovery-focused managed care organization that promotes quality, effective, and accessible behavioral health care. If you need Care Services You can get Care Services several different ways. For Emergency Services and Outpatient Services, you may directly contact any organization or individual listed in this directory. You will find a listing of organizations and individuals that offer emergency and outpatient services. The provider will arrange for any care you need. You may contact Member Services 24 hours a day, 7 days a week at the toll-free number, , (TTY) or (En Espanol) to discuss your behavioral health Services. If you are currently receiving behavioral health services, you may request assistance from your current mental health worker by calling Member Services at the toll-free number, , (TTY) or (En Espanol). When you call, a Member Services Representative will help you get needed services. Community Care offers coverage for a wide range of behavioral health services. For services other than emergency and outpatient, you may call Member Services tollfree number yourself or you may have someone assist you. If you need more information about a practitioner, such as educational background, license information, hospital affiliations, or board certification status, please call You may also call this line if you need more information on specialty providers. A list of accessible organizations and individuals that provide services through Community Care is listed in the Alphabetical Index section of this directory. 1

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5 Rehabilitation Services for Children and Adolescents ADAMS Youth Advocate Programs, 26-D Spring Avenue Gettysburg, PA ARMSTRONG Family Psychological Associates, Ltd. 365 Franklin Hill Road Kittanning, PA BEDFORD Alternative Community Resource Program, 3759 Business Route 220 Bedford, PA Nulton Diagnostic & Treatment Center 608 East Pitt Street Bedford, PA Universal Community Lincoln Highway Everett, PA BERKS Child & Family Support Services, 4 South Fourth Street Second Floor Reading, PA CONCERN Professional Services for Children, Youth & Families 1120 Hobart Avenue Suite C Wyomissing, PA Franklin Street Fleetwood, PA Familicare Counseling Center 501 Washington Street Suite 700 Reading, PA Holcomb Systems 1011 Reed Avenue Suite 900 Wyomissing, PA National Mentor Healthcare, LLC. dba PA MENTOR 311 East Main Street Fleetwood, PA Pennsylvania Counseling Services, 938 Penn Street Reading, PA Progressions Companies,, The 144 North Sixth Street Reading, PA Youth Advocate Programs, 2851 Centre Avenue Reading, PA BLAIR Alternative Community Resource Program, 1815 Valley View Drive Altoona, PA th Avenue Suite 3030 Altoona, PA Home Nursing Agency 400 Lakemont Boulevard Altoona, PA Nulton Diagnostic & Treatment Center Regency Square 2900 Plank Road, Old Route 220 Altoona, PA Universal Community 701 Tenth Street Suite 3 Altoona, PA BRADFORD 703 South Elmer Avenue Suite # 115 Sayre, PA Northern Tier Counseling, Route 6 Suite 2 Towanda, PA Youth Advocate Programs, 1 Elizabeth Street Suite Five Towanda, PA CAMBRIA Alternative Community Resource Program, 118 West High Street Ebensburg, PA Nulton Diagnostic & Treatment Center 214 College Park Plaza Johnstown, PA CARBON Associates, 325 Alum Street Lehighton, PA Youth Advocate Programs, 926 Interchange Road Kresgeville, PA CENTRE 3020 Research Drive Universal Community 190 Match Factory Place Bellefonte, PA CHESTER Devereux PA - Community Services 85 Old Eagle School Road Suite 200 Wayne, PA CLARION Clarion Family Therapy Route 68 Suite 5 Clarion, PA Misty Isle Bridges, 9664 Route 322 Shippenville, PA Shamrock Solutions, 413 Wood Street Clarion, PA CLEARFIELD Bowman, Helen, M.Ed. Breezewood Services 90 Beaver Drive Suite 117D DuBois, PA Brookville, 23 Beaver Drive Dubois, PA Cen-Clear Child Services, 580 Old Route 322 Philipsburg, PA Children's, 8904 Clearfield /Curwensville Highway Clearfield, PA Garred, Sean, M.Ed., L. Behavioral Advancements of DuBois 150 West Dubois Avenue Juniata Place - Suite B Dubois, PA

6 Rehabilitation Services for Children and Adolescents CLEARFIELD (CONTINUED) 25 East Park Avenue Suite 8 DuBois, PA Salisbury 460 Jeffers Street DuBois, PA Universal Community 110 Walton Street Suite 1 Philipsburg, PA CLINTON Universal Community 7930 Nittany Valley Drive Mill Hall, PA COLUMBIA Pennsylvania Counseling Services, 200 South Progress Avenue Harrisburg, PA Rosen, Howard, Ph.D. Hempfield 2019 North Second Street Harrisburg, PA TrueNorth Wellness Services 5351C Jaycee Avenue, Suite 1 Route 22 Business Center Harrisburg, PA ELK Dickinson Center, 43 Servidea Drive Ridgway, PA ERIE Barber National Institute 100 Barber Place Barber National Institute Erie, PA Raystown Road Huntingdon, PA Universal Community 620 Washington Street Huntingdon, PA Youth Advocate Programs, 115 West Shirley Street P.O. Box 446 Mount Union, PA JEFFERSON Brookville, 70 Second Street Suite A Brookville, PA Children's, 1464 North Main Street Station Square - Suite 13 Punxsutawney, PA LANCASTER Youth Advocate Programs, 1891 Santa Barbara Drive Suite 203 Lancaster, PA LEBANON Pennsylvania Counseling Services, 350 North Sixth Avenue Lebanon, PA LEHIGH Holcomb Systems 1405 North Cedar Crest Boulevard Suite 105 Allentown, PA LUZERNE Children's Services, 104 Woodward Hill Road Edwardsville, PA Northeast Counseling Services 120 East 3rd Street Rear Entrance Berwick, PA Salisbury 218 West Sixth Street Berwick, PA CUMBERLAND Pennsylvania Counseling Services, 1 Greystone Road Carlisle, PA DAUPHIN Keystone Service Systems, 3700 Vartan Way Harrisburg, PA Counselling Services Center of SE Erie County 45 East Washington Street Corry, PA East Pleasant Street Corry Middle/High School Corry, PA FRANKLIN 449 Lincoln Way East Chambersburg, PA Universal Community 1331 South 7th Street Chambersburg, PA HUNTINGDON Children's, 213 Fifth Street Huntingdon, PA LACKAWANNA Friendship House 1509 Maple Street Scranton, PA KidsPeace National Centers, 101 Pittston Avenue 1st Floor, Suite 3 Scranton, PA Matthews, Michael, Ph.D. Family Enrichment Center, 541 Wyoming Avenue Scranton, PA North Main Street Carbondale, PA Youth Advocate Programs, 1418 Main Street Suite 101 Peckville, PA Children's Service Center of Wyoming Valley, 335 South Franklin Street Wilkes-Barre, PA Community Counseling Services of NE Pennsylvania 562 Wyoming Avenue Kingston, PA LaJeunesse, Charles, Ph.D. Autism Behavioral Services, 1122 Wyoming Avenue Exeter, PA Luzerne Intermediate Unit 368 Tioga Avenue Kingston, PA Northeast Counseling Services 130 West Washington Street Nanticoke, PA East Broad Street Hazleton, PA

7 Rehabilitation Services for Children and Adolescents LUZERNE (CONTINUED) Sowcik, Mark, Ph.D. Mark K. Sowcik, PhD 92 Main Street Luzerne, PA Step-By-Step, 744 Kidder Street Cross Valley Commons Wilkes-Barre, PA LYCOMING KidsPeace National Centers, 1020 Commerce Park Drive Water Towne Square, Suite 8B Williamsport, PA West Third Street Williamsport, PA MCKEAN Beacon Light Behavioral Health Systems 800 East Main Street Fass, Virginia, M.S. Sagewood, 2 Main Street Suite Guidance Center, The 110 Campus Drive 133 Marvin Street Smethport, PA MIFFLIN 25 Rothermel Drive Suite A Yeagertown, PA Universal Community 25 Rothermel Drive Yeagertown, PA MONTGOMERY Access Services, 500 Office Center Drive Suite 100 Fort Washington, PA Progressions Companies,, The 1566 Medical Drive Suite 110 Pottstown, PA MONTOUR KidsPeace National Centers, 304 Railroad Street Danville, PA NORTHAMPTON Access Services, 3975 Township Road Bethlehem, PA Colonial Intermediate Unit 20 6 Danforth Drive Easton, PA CONCERN Professional Services for Children, Youth & Families 90 South Commerce Way Suite 300 Bethlehem, PA NORTHUMBERLAND Behavioral Specialists, Incorporated 40 Lawton Lane Milton, PA Keystone Service Systems, 301 Arch Street Suite A Sunbury, PA Pennsylvania Avenue Sunbury, PA Safety Net Counseling, 100 North Vine Street Mount Carmel, PA PIKE Youth Advocate Programs, 10 Buist Road Suite 503 Milford, PA POTTER Fass, Virginia, M.S. Sagewood, 353 East Second Street Coudersport, PA SCHUYLKILL Access Services, 340 South Liberty Street Orwigsburg, PA Child & Family Support Services, 2276 West Market Street ReDCo Group, The South Centre Street South Centre Street Mahantongo Street Youth Advocate Programs, 65 North Lehigh Street Frackville, PA SNYDER Rosen, Howard, Ph.D. Hempfield 29 North Market Street Suite C Selinsgrove, PA SUSQUEHANNA State Route 706 Suite 1 and 2 Montrose, PA TIOGA CONCERN Professional Services for Children, Youth & Families 62 Plaza Lane Wellsboro, PA Northern Tier Counseling, 8 South Main Street Mansfield, PA UNION CONCERN Professional Services for Children, Youth & Families 434 Market Street Suite 205 Lewisburg, PA Pashchuk, Nancy, M.A. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA Silberman, Sharon, M.A. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA Suppa, Bernardine, Psy.D. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA

8 Rehabilitation Services for Children and Adolescents WARREN WAYNE WYOMING Beacon Light Behavioral Health Systems Central Avenue Warren, PA KidsPeace National Centers, 100 Fourth Street 1st Floor Honesdale, PA Main Street 3rd Floor Honesdale, PA Children's Service Center of Wyoming Valley, 133 West Tioga Street Tunkhannock, PA YORK 651 Albright Avenue York, PA Pennsylvania Counseling Services, 225 East Springettsbury Avenue York, PA TrueNorth Wellness Services 625 West Elm Avenue Hanover, PA Youth Advocate Programs, 907 Roosevelt Avenue York, PA

9 BHRSCA Evaluation Services ADAMS Youth Advocate Programs, 26-D Spring Avenue Gettysburg, PA BEDFORD Alternative Community Resource Program, 3759 Business Route 220 Bedford, PA Nulton Diagnostic & Treatment Center 608 East Pitt Street Bedford, PA Petroski, Richard, Ph.D Lincoln Highway Universal Community Behavioral Health Everett, PA Universal Community Lincoln Highway Everett, PA BERKS Bloszinsky, Scott, Psy.D Penn Avenue Suite 201 Wyomissing, PA Child & Family Support Services, 4 South Fourth Street Second Floor Reading, PA CONCERN Professional Services for Children, Youth & Families 1120 Hobart Avenue Suite C Wyomissing, PA Franklin Street Fleetwood, PA Familicare Counseling Center 501 Washington Street Suite 700 Reading, PA Fernandez, Jennifer, Ph.D Penn Avenue Suite 201 Wyomissing, PA Hill, Alison, Ph.D. Berks Counseling Associates, 1150 Berkshire Boulevard Suite 250 Wyomissing, PA Holcomb Systems 1011 Reed Avenue Suite 900 Wyomissing, PA Nagle, Robert, Ph.D. Berks Counseling Associates, 1150 Berkshire Boulevard Suite 250 Wyomissing, PA National Mentor Healthcare, LLC. dba PA MENTOR 311 East Main Street Fleetwood, PA Pastucka, David, M.A Centre Avenue Reading, PA Pennsylvania Counseling Services, 938 Penn Street Reading, PA Progressions Companies,, The 144 North Sixth Street Reading, PA Smith, Hugh, Ph.D Penn Avenue Suite 201 Wyomissing, PA Umbrell, Jessica, Psy.D Penn Avenue Suite 201 Wyomissing, PA Youth Advocate Programs, 2851 Centre Avenue Reading, PA BLAIR Alternative Community Resource Program, 1815 Valley View Drive Altoona, PA th Avenue Suite 3030 Altoona, PA Home Nursing Agency 400 Lakemont Boulevard Altoona, PA Universal Community 701 Tenth Street Suite 3 Altoona, PA BRADFORD Muto, Nicholas, M.S. 1 Progress Place Towanda, PA South Elmer Avenue Suite # 115 Sayre, PA Northern Tier Counseling, Route 6 Suite 2 Towanda, PA Smothers, Roger, M.S. Roger L. Smothers 1 Progress Plaza, Suite 5 Youth Advocate Program Towanda, PA Roger L. Smothers 7 Bridge Street Northwestern Human Services Towanda, PA Swisher, David, M.S. Swisher Services, 703 S. Elmer Avenue Suite 115 Sayre, PA Youth Advocate Programs, 1 Elizabeth Street Suite Five Towanda, PA CAMBRIA Alternative Community Resource Program, 118 West High Street Ebensburg, PA Children's, 320 Eisenhower Boulevard Johnstown, PA Nulton Diagnostic & Treatment Center 214 College Park Plaza Johnstown, PA CAMERON Dickinson Center, 27 East Fourth Street Emporium, PA CARBON Youth Advocate Programs, 926 Interchange Road Kresgeville, PA

10 BHRSCA Evaluation Services CENTRE Hartey, Jennifer, Psy.D Research Drive Nadenichek, Peggy, M.Ed. MidStep Centers for Child Development, PC 454 Rolling Ridge Drive Research Drive Petroski, Richard, Ph.D. 206 West High Street Universal Community Behavioral Health Bellefonte, PA Enterprise Drive Northwestern Human Services Swisher, David, M.S. Swisher Services, 3020 Research Drive Universal Community 190 Match Factory Place Bellefonte, PA CHESTER Devereux PA - Community Services 85 Old Eagle School Road Suite 200 Wayne, PA CLARION Clarion Family Therapy Route 68 Suite 5 Clarion, PA Misty Isle Bridges, 9664 Route 322 Shippenville, PA Service Access & Management, 214 South Seventh Avenue Clarion, PA Shamrock Solutions, 413 Wood Street Clarion, PA CLEARFIELD Bowman, Helen, M.Ed. Breezewood Services 90 Beaver Drive Suite 117D DuBois, PA Brookville, 23 Beaver Drive Dubois, PA Cen-Clear Child Services, 580 Old Route 322 Philipsburg, PA Children's, 8904 Clearfield /Curwensville Highway Clearfield, PA Dickinson Center, 750 Leonard Street Clearfield, PA Garred, Sean, M.Ed., L. Behavioral Advancements of DuBois 150 West Dubois Avenue Juniata Place - Suite B Dubois, PA East Park Avenue Suite 8 DuBois, PA Petroski, Richard, Ph.D. 110 Walton Street Universal Community Behavioral Health Philipsburg, PA Salisbury 460 Jeffers Street DuBois, PA Universal Community 110 Walton Street Suite 1 Philipsburg, PA CLINTON Universal Community 7930 Nittany Valley Drive Mill Hall, PA COLUMBIA Bloszinsky, Scott, Psy.D. 218 West 6th Street Berwick, PA Fernandez, Jennifer, Ph.D. 218 West 6th Street Berwick, PA Northeast Counseling Services 120 East 3rd Street Rear Entrance Berwick, PA Salisbury 218 West Sixth Street Berwick, PA Smith, Hugh, Ph.D. 218 West 6th Street Berwick, PA Umbrell, Jessica, Psy.D. 218 West 6th Street Berwick, PA CUMBERLAND Pennsylvania Counseling Services, 1 Greystone Road Carlisle, PA DAUPHIN Bloszinsky, Scott, Psy.D Springboard Drive Hershey, PA Fernandez, Jennifer, Ph.D Springboard Drive Hershey, PA Keystone Service Systems, 3700 Vartan Way Harrisburg, PA Pennsylvania Counseling Services, 200 South Progress Avenue Harrisburg, PA Rosen, Howard, Ph.D. Hempfield 2019 North Second Street Harrisburg, PA Smith, Hugh, Ph.D Springboard Drive Hershey, PA TrueNorth Wellness Services 5351C Jaycee Avenue, Suite 1 Route 22 Business Center Harrisburg, PA Umbrell, Jessica, Psy.D Springboard Drive Hershey, PA

11 BHRSCA Evaluation Services ELK Dickinson Center, 43 Servidea Drive Ridgway, PA ERIE Barber National Institute 100 Barber Place Barber National Institute Erie, PA Counselling Services Center of SE Erie County 45 East Washington Street Corry, PA East Pleasant Street Corry Middle/High School Corry, PA FRANKLIN 449 Lincoln Way East Chambersburg, PA Universal Community 1331 South 7th Street Chambersburg, PA Bughwick Business Center - Route 522 South Youth Advocate Programs, Mt. Union, PA Swisher, David, M.S. Swisher Services, Raystown Road Huntingdon, PA Swisher Services, 373 Fairgrounds Road Huntingdon, PA Universal Community 620 Washington Street Huntingdon, PA Youth Advocate Programs, 115 West Shirley Street P.O. Box 446 Mount Union, PA JEFFERSON Brookville, 70 Second Street Suite A Brookville, PA Fernandez, Jennifer, Ph.D. 751 Industrial Park Road Throop, PA KidsPeace National Centers, 101 Pittston Avenue 1st Floor, Suite 3 Scranton, PA North Main Street Carbondale, PA Reinhardt, John, Ph.D. 215 Hickory Street Scranton, PA Smith, Hugh, Ph.D. 751 Industrial Park Road Throop, PA Umbrell, Jessica, Psy.D. 751 Industrial Park Road Throop, PA Smith, Hugh, Ph.D Colonial Village Lane Suite 103 Lancaster, PA Umbrell, Jessica, Psy.D Colonial Village Lane Suite 103 Lancaster, PA Youth Advocate Programs, 1891 Santa Barbara Drive Suite 203 Lancaster, PA LEBANON Pennsylvania Counseling Services, 350 North Sixth Avenue Lebanon, PA LEHIGH Holcomb Systems 1405 North Cedar Crest Boulevard Suite 105 Allentown, PA HUNTINGDON Hartey, Jennifer, Psy.D Raystown Road Huntingdon, PA th Street Huntingdon, PA Raystown Road Huntingdon, PA Petroski, Richard, Ph.D Raystown Road Huntingdon, PA Washington Street Universal Community Behavioral Health Huntingdon, PA Children's, 1464 North Main Street Station Square - Suite 13 Punxsutawney, PA Community Guidance Center 1464 North Main Street Station Square North, Suite #8 Punxsutawney, PA LACKAWANNA Bloszinsky, Scott, Psy.D. 751 Industrial Park Road Throop, PA Youth Advocate Programs, 1418 Main Street Suite 101 Peckville, PA LANCASTER Bloszinsky, Scott, Psy.D Colonial Village Lane Suite 103 Lancaster, PA Fernandez, Jennifer, Ph.D Colonial Village Lane Suite 103 Lancaster, PA KidsPeace Hospital, 1650 Broadway Bethlehem, PA East Green Street Allentown, PA LUZERNE Bloszinsky, Scott, Psy.D Wyoming Avenue Wyoming, PA Children's Services, 104 Woodward Hill Road Edwardsville, PA

12 BHRSCA Evaluation Services LUZERNE (CONTINUED) Children's Service Center of Wyoming Valley, 335 South Franklin Street Wilkes-Barre, PA Fernandez, Jennifer, Ph.D Wyoming Avenue Wyoming, PA LaJeunesse, Charles, Ph.D. Autism Behavioral Services, 1122 Wyoming Avenue Exeter, PA Luzerne Intermediate Unit 368 Tioga Avenue Kingston, PA Northeast Counseling Services 130 West Washington Street Nanticoke, PA East Broad Street Hazleton, PA Smith, Hugh, Ph.D Wyoming Avenue Wyoming, PA Sowcik, Mark, Ph.D. Mark K. Sowcik, PhD 92 Main Street Luzerne, PA Step-By-Step, 744 Kidder Street Cross Valley Commons Wilkes-Barre, PA Umbrell, Jessica, Psy.D Wyoming Avenue Wyoming, PA LYCOMING Bloszinsky, Scott, Psy.D Catherine Street Williamsport, PA Fernandez, Jennifer, Ph.D Catherine Street Williamsport, PA KidsPeace National Centers, 1020 Commerce Park Drive Water Towne Square, Suite 8B Williamsport, PA Academy Street Williamsport, PA Smith, Hugh, Ph.D Catherine Street Williamsport, PA Umbrell, Jessica, Psy.D Catherine Street Williamsport, PA Whipple, Bonnie, Ph.D West Third Street Williamsport, PA MCKEAN Beacon Light Behavioral Health Systems 800 East Main Street Fass, Virginia, M.S. Sagewood, 2 Main Street Suite Guidance Center, The 110 Campus Drive 133 Marvin Street Smethport, PA MERCER Craig, Robert, Ph.D. Craig Psychological Associates 420 Hillcrest Avenue Grove City, PA MIFFLIN Bloszinsky, Scott, Psy.D. 20 Depot Street Suite 103 Lewistown, PA Rothermel Drive, Suite A NHS Human Services Yeagertown, PA Fernandez, Jennifer, Ph.D. 20 Depot Street Suite 103 Lewistown, PA Rothermel Drive, Suite A NHS Human Services Yeagertown, PA Hartey, Jennifer, Psy.D. 25 Rothermel Drive Suite A Yeagertown, PA Rothermel Drive Suite A Yeagertown, PA Petroski, Richard, Ph.D. 399 Green Avenue Lewistown, PA Smith, Hugh, Ph.D. 20 Depot Street Suite 103 Lewistown, PA Rothermel Drive, Suite A NHS Human Services Yeagertown, PA Swisher, David, M.S. Swisher Services, 25 Rothermel Drive Suite A Yeagertown, PA Umbrell, Jessica, Psy.D. 20 Depot Street Suite 103 Lewistown, PA Universal Community 25 Rothermel Drive Yeagertown, PA MONTGOMERY Access Services, 500 Office Center Drive Suite 100 Fort Washington, PA Progressions Companies,, The 1566 Medical Drive Suite 110 Pottstown, PA MONTOUR Geisinger Clinic 100 North Academy Avenue Danville, PA KidsPeace National Centers, 304 Railroad Street Danville, PA

13 BHRSCA Evaluation Services MONTOUR (CONTINUED) Whipple, Bonnie, Ph.D. 304 Railroad Street Danville, PA NORTHAMPTON Access Services, 3975 Township Road Bethlehem, PA Colonial Intermediate Unit 20 6 Danforth Drive Easton, PA CONCERN Professional Services for Children, Youth & Families 90 South Commerce Way Suite 300 Bethlehem, PA NORTHUMBERLAND Behavioral Specialists, Incorporated 40 Lawton Lane Milton, PA Bloszinsky, Scott, Psy.D. 100 North Vine Street Safety Net Counseling Services, Mt. Carmel, PA Rear Market Street Sunbury, PA Fernandez, Jennifer, Ph.D. 100 North Vine Street Safety Net Counseling Services, Mt. Carmel, PA North Center Street Northumberland County MH/MR and D&A Programs Sunbury, PA Rear Market Street Sunbury, PA Keystone Service Systems, 301 Arch Street Suite A Sunbury, PA Meadow Lane Coal Township, PA Pennsylvania Avenue Sunbury, PA Northwestern Drive Coal Township, PA Safety Net Counseling, 100 North Vine Street Mount Carmel, PA Smith, Hugh, Ph.D. 100 North Vine Street Safety Net Counseling Services, Mt. Carmel, PA North Center Street Northumberland County MH/MR and D&A Programs Sunbury, PA Rear Market Street Sunbury, PA Umbrell, Jessica, Psy.D. 100 North Vine Street Safety Net Counseling Services, Mt. Carmel, PA Rear Market Street Sunbury, PA Whipple, Bonnie, Ph.D. 60 Brenda Rovenolt Circle Milton, PA Northwestern Human Services 140 Pennsylvania Avenue Sunbury, PA Northwestern Human Services 503 Market Street Sunbury, PA Safety Net Counseling 100 North Vine Street Mount Carmel, PA PIKE Youth Advocate Programs, 10 Buist Road Suite 503 Milford, PA POTTER Dickinson Center, 1 North Main Street Coudersport, PA Fass, Virginia, M.S. Sagewood, 353 East Second Street Coudersport, PA SCHUYLKILL Access Services, 340 South Liberty Street Orwigsburg, PA Bloszinsky, Scott, Psy.D. 221 Mahantongo Street Providence Community Services Pottsville-Minersville Highway, Suite 150 New Story Minersville, PA Mahantongo Street NHS Human Services Child & Family Support Services, 2276 West Market Street Fernandez, Jennifer, Ph.D. 221 Mahantongo Street Providence Community Services Pottsville-Minersville Highway, Suite 150 New Story Minersville, PA Mahantongo Street NHS Human Services Pappas, Nicholas, Ph.D. Nicholas A. Pappas PhD 410 North Centre Street Pastucka, David, M.A Route 61 South, Suite 106 Pa Treatment and Healing North Lehigh Avenue Youth Advocate Programs Frackville, PA ReDCo Group, The South Centre Street South Centre Street Mahantongo Street

14 BHRSCA Evaluation Services SCHUYLKILL (CONTINUED) Smith, Hugh, Ph.D. 221 Mahantongo Street Providence Community Services Pottsville-Minersville Highway, Suite 150 New Story Minersville, PA Mahantongo Street NHS Human Services Tietbohl, Phillip, Ph.D. One Norwegian Plaza Umbrell, Jessica, Psy.D. 221 Mahantongo Street Providence Community Services Pottsville-Minersville Highway, Suite 150 New Story Minersville, PA Mahantongo Street NHS Human Services Youth Advocate Programs, 65 North Lehigh Street Frackville, PA Zemlan, Natalie, M.A. 265 North Lehigh Street Frackville, PA SNYDER Rosen, Howard, Ph.D. Hempfield 29 North Market Street Suite C Selinsgrove, PA Whipple, Bonnie, Ph.D. Evangelical Medical Building 905 US Route 522 Selinsgrove, PA SULLIVAN Palmer, Michael, Ed.D 245 Muncy Street Sullivan County Court House LaPorte, PA TIOGA CONCERN Professional Services for Children, Youth & Families 62 Plaza Lane Wellsboro, PA Northern Tier Counseling, 8 South Main Street Mansfield, PA Palmer, Michael, Ed.D 2578 Millcreek Road Mansfield, PA Plaza Lane CONCERN Professional Services for CYF Wellsboro, PA UNION CONCERN Professional Services for Children, Youth & Families 434 Market Street Suite 205 Lewisburg, PA Emery, Matthew, Psy.D. Emery Services, 32 Whisper Creek Drive Suite 7 Lewisburg, PA Pashchuk, Nancy, M.A. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA Silberman, Sharon, M.A. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA Suppa, Bernardine, Psy.D. Laurel Creek Counseling, LLP 145 Brookpark Circle Lewisburg, PA Whipple, Bonnie, Ph.D. CONCERN Professional Services for CYF 434 Market Street Lewisburg, PA VENANGO Breene, Colleen, M.A. 1 Dale Avenue Human Services Franklin, PA WARREN Achievement Center, 414 Market Street Warren, PA Beacon Light Behavioral Health Systems Central Avenue Warren, PA Family Services of Warren County, 589 Hospital Drive Suite E Warren, PA WAYNE Ciaravino, Elizabeth, Ph.D. Elizabeth A. Ciaravino, PhD 6 Collan Park PA Treatment and Healing Honesdale, PA KidsPeace National Centers, 100 Fourth Street 1st Floor Honesdale, PA Main Street 3rd Floor Honesdale, PA Reinhardt, John, Ph.D. 62 Industrial Park Road Lake Ariel, PA Smothers, Roger, M.S. Roger L. Smothers 6 Collan Park PA Treatment & Healing Honesdale, PA WESTMORELAND Adelphoi Village, 1119 Village Way Latrobe, PA WYOMING Children's Service Center of Wyoming Valley, 133 West Tioga Street Tunkhannock, PA YORK Bloszinsky, Scott, Psy.D. 141 East Market Street Pressley Ridge York, PA Ryan Run Road, Suite 201 New Story York, PA Fernandez, Jennifer, Ph.D. 141 East Market Street Pressley Ridge York, PA

15 BHRSCA Evaluation Services YORK (CONTINUED) Fernandez, Jennifer, Ph.D. (continued) 555 Ryan Run Road, Suite 201 New Story York, PA Albright Avenue York, PA Pennsylvania Counseling Services, 128 North George Street York, PA Smith, Hugh, Ph.D. 141 East Market Street Pressley Ridge York, PA Ryan Run Road, Suite 201 New Story York, PA TrueNorth Wellness Services 625 West Elm Avenue Hanover, PA Umbrell, Jessica, Psy.D. 141 East Market Street Pressley Ridge York, PA Youth Advocate Programs, 907 Roosevelt Avenue York, PA

16 Blended Case Management ALLEGHENY Mercy 1200 Reedsdale Street Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 5231 Penn Avenue Pittsburgh, PA ARMSTRONG Family Counseling Center of Armstrong County 300 South Jefferson Street Kittanning, PA BEDFORD Bedford Somerset MH/MR 1243 Shed Road Bedford, PA BERKS Salisbury 1015 Penn Avenue Suite 201 Wyomissing, PA Service Access & Management, 19 North Sixth Street Suite 300 Reading, PA Treatment Access & Services Center, 19 North Sixth Street Suite 300 Reading, PA East Chestnut Avenue Altoona, PA BRADFORD Bradford County Human Services Agency 220 Main Street Unit One Towanda, PA BUTLER Family Psychological Associates, Ltd. 226 West New Castle Street Butler, PA CENTRE Centre County MH/ID/EI - D&A 3500 East College Avenue Suite Strawberry Fields, Inc 3054 Enterprise Drive CLARION Family Psychological Associates, Ltd. 334 North Main Street Knox, PA Service Access & Management, 214 South Seventh Avenue Clarion, PA CLEARFIELD 375 Beaver Drive Dubois, PA ELK Cen-Clear Child Services, 801 South Michael Street St. Marys, PA Dickinson Center, 43 Servidea Drive Ridgway, PA ERIE Counselling Services Center of SE Erie County 45 East Washington Street Corry, PA HUNTINGDON Raystown Road Huntingdon, PA Service Access & Management, 710 Mt. Vernon Avenue Huntingdon, PA Universal Community 620 Washington Street Huntingdon, PA INDIANA Community Guidance Center 793 Old Route 119 Highway North Indiana, PA Service Access & Management, 103 North Gilpin Suite 309 Punxsutawney, PA Barnett Street Brookville, PA JUNIATA Service Access & Management, 287 East Industrial Drive Mifflintown, PA LACKAWANNA Lourdesmont Good Shepherd Youth & Family Services 1327 Wyoming Avenue Scranton, PA North Main Street Carbondale, PA LUZERNE Northeast Counseling Services 130 West Washington Street Nanticoke, PA East Broad Street Hazleton, PA MCKEAN Guidance Center, The 110 Campus Drive BLAIR Home Nursing Agency 400 Lakemont Boulevard Altoona, PA Service Access & Management, 216 North Second Street Suite 3 Clearfield, PA JEFFERSON Community Guidance Center 1464 North Main Street Station Square North, Suite #8 Punxsutawney, PA MIFFLIN 25 Rothermel Drive Suite A Yeagertown, PA

17 Blended Case Management MIFFLIN (CONTINUED) Service Access & Management, 100 East Market Street Lewistown, PA NORTHUMBERLAND Northumberland County 217 North Center Street Sunbury, PA POTTER Potter County Human Services 62 North Street P.O. Box 241 Roulette, PA SCHUYLKILL Service Access & Management, 590 Terry Reiley Way SOMERSET Bedford Somerset MH/MR 245 West Race Street Somerset, PA SUSQUEHANNA State Route 706 Suite 1 and 2 Montrose, PA TIOGA Tioga County Department of Human Services 1873 Shumway Hill Road Wellsboro, PA WARREN Beacon Light Behavioral Health Systems 285 Hospital Drive Warren, PA WAYNE Wayne County Human Service Agency 648 Park Street Wayne County MH/MR Honesdale, PA YORK Service Access & Management, 1305 East Market Street York, PA

18 Clozaril Support Services ADAMS TrueNorth Wellness Services 44 South Franklin Street Gettysburg, PA ALLEGHENY Mercy 1945 Fifth Avenue Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 3501 Forbes Avenue Pittsburgh, PA Liberty Avenue Pittsburgh, PA ARMSTRONG Family Counseling Center of Armstrong County 300 South Jefferson Street Kittanning, PA One Kiski Avenue Leechburg, PA BERKS Berkshire Psychiatric & Services, 640 Walnut Street Suite 303 Reading, PA Yasmeen, Nikhat, M.D. 640 Walnut Street First Floor Reading, PA BRADFORD Northern Tier Counseling, Route 6 Suite 2 Towanda, PA CAMBRIA Alternative Community Resource Program, 131 Market Street Johnstown, PA CENTRE Centre County MH/ID/EI - D&A 3500 East College Avenue Suite Derstine, Timothy, M.D. 320 Rolling Ridge Drive Suite Pennsylvania State Univ. Psychological Clinic, The 314 Moore Building The Pennsylvania State University University Park, PA Sheth, Nitin, M.D. 270 Walker Drive Suite 108A CLARION Service Access & Management, 214 South Seventh Avenue Clarion, PA CLEARFIELD Community Guidance Center 100 Caldwell Drive Dubois, PA Leonard Street Clearfield, PA COLUMBIA CMSU MH/MR and D&A Program 277 East Seventh Street Bloomsburg, PA CRAWFORD Stairways 847 North Main Street Parkside Commons, Suite110 Meadville, PA CUMBERLAND Stevens Center, The 33 State Avenue Carlisle, PA DAUPHIN Pennsylvania Psychiatric Institute 401 Division Street Harrisburg, PA TrueNorth Wellness Services 5351C Jaycee Avenue, Suite 1 Route 22 Business Center Harrisburg, PA Yasmeen, Nikhat, M.D. 100 North Cameron Street Suite 401-E Harrisburg, PA ELK Dickinson Center, 43 Servidea Drive Ridgway, PA ERIE Barber National Institute 100 Barber Place Barber National Institute Erie, PA Sciota Road Corry, PA Counselling Services Center of SE Erie County 45 East Washington Street Corry, PA East Lake Road Erie, PA East Pleasant Street Corry Middle/High School Corry, PA Stairways 2910 State Street Erie, PA State Street Erie, PA HUNTINGDON Sheth, Nitin, M.D. 95 South Park Street Mount Union, PA INDIANA Community Guidance Center 793 Old Route 119 Highway North Indiana, PA Gelfand, Steven, M.D. 850 Hospital Road Suite 2200 Indiana, PA JEFFERSON Community Guidance Center 1464 North Main Street Station Square North, Suite #8 Punxsutawney, PA LACKAWANNA Berger, Matthew, M.D. 340 Montage Mountain Road Moosic, PA Quincy Avenue Moses Taylor Hospital Scranton, PA Mallik, Satish, M.D. 340 Montage Mountain Road Moosic, PA North Main Street Carbondale, PA

19 Clozaril Support Services LANCASTER MIFFLIN POTTER WARREN Community Services Group, 790 New Holland Avenue Lancaster, PA Philhaven 1120 Frances Avenue Lancaster, PA LEHIGH KidsPeace Hospital, 1650 Broadway Bethlehem, PA East Green Street Allentown, PA Patel, Nalin, M.D. 134 West Market Street Lewistown, PA Sheth, Nitin, M.D. 27 Sandy Lane LEMED Building Suite 190 Lewistown, PA MONTGOMERY Resources for Human Development 850 Lancaster Avenue Second Floor Bryn Mawr, PA Dickinson Center, 1 North Main Street Coudersport, PA SCHUYLKILL Denis, Sandra, M.D. 221 East Market Street Orwigsburg, PA Professional Counseling, Consulting & Human Svc. 1 West Centre Street Mahanoy City, PA West End Avenue Beacon Light Behavioral Health Systems 285 Hospital Drive Warren, PA WAYNE Berger, Matthew, M.D Millcreek Road Newfoundland, PA WYOMING Community Counseling Services of NE Pennsylvania 99 Bridge Street Tunkhannock, PA LUZERNE Berger, Matthew, M.D. 562 Wyoming Avenue First Hospital Wyoming Valley Kingston, PA Children's Service Center of Wyoming Valley, 335 South Franklin Street Wilkes-Barre, PA Community Counseling Services of NE Pennsylvania 110 South Pennsylvania Avenue Wilkes-Barre, PA Wyoming Avenue Kingston, PA MONTOUR Choudhry, Babar, M.D. 304 Railroad Street Danville, PA CMSU MH/MR and D&A Program 217 Pine Street Danville, PA Mill Street Danville, PA NORTHUMBERLAND Newton, Andrew, M.D. 129 East Fifth Street Mount Carmel, PA ReDCo Group, The 16 South Centre Street SNYDER CMSU MH/MR and D&A Program 858 Sale Barn Road Middleburg, PA SUSQUEHANNA State Route 706 Suite 1 and 2 Montrose, PA UNION YORK TrueNorth Wellness Services 1195 Roosevelt Avenue York, PA West Elm Avenue Hanover, PA East Forrest Avenue Box 12 Shrewsbury, PA Northeast Counseling Services 130 West Washington Street Nanticoke, PA MCKEAN Guidance Center, The 110 Campus Drive 148 State Route Anthra Plaza Coal Township, PA Singh, Gurdial, M.D. 239 West Commerce Street Shamokin, PA PERRY Stevens Center, The 6077 Spring Road Shermans Dale, PA CMSU MH/MR and D&A Program 88 Bull Run Crossing Suite #2 Lewisburg, PA VENANGO Regional Counseling Center, 1 Dale Avenue Franklin, PA

20 Community Residential Rehab - Group Home LUZERNE Children's Service Center of Wyoming Valley, 137 East Noble Street Nanticoke, PA South Franklin Street Wilkes-Barre, PA

21 Community Residential Rehab - Host Home ALLEGHENY Pressley Ridge 530 Marshall Avenue Pittsburgh, PA BERKS 220 North Park Road Wyomissing, PA BRADFORD 703 South Elmer Avenue Suite # 115 Sayre, PA CLEARFIELD 25 East Park Avenue Suite 8 DuBois, PA DAUPHIN National Mentor Healthcare, LLC. dba PA MENTOR 2090 Linglestown Road Suite 203 Harrisburg, PA LACKAWANNA KidsPeace National Centers, 101 Pittston Avenue 1st Floor, Suite 3 Scranton, PA North Main Street Carbondale, PA LUZERNE Children's Service Center of Wyoming Valley, 335 South Franklin Street Wilkes-Barre, PA National Mentor Healthcare, LLC. dba PA MENTOR 312 State Highway 315 Pittston, PA MIFFLIN 25 Rothermel Drive Suite A Yeagertown, PA MONTOUR KidsPeace National Centers, 304 Railroad Street Danville, PA NORTHAMPTON National Mentor Healthcare, LLC. dba PA MENTOR 3865 Adler Place 2nd Floor Bethlehem, PA Adler Place Bethlehem, PA NORTHUMBERLAND 140 Pennsylvania Avenue Sunbury, PA PHILADELPHIA National Mentor Healthcare, LLC. dba PA MENTOR 125 South 9th Street 6th Floor Philadelphia, PA SCHUYLKILL KidsPeace National Centers, 355 Saylor Street Schuylkill Haven, PA One Norwegian Plaza Suite UNION Diversified Treatment Alternatives 148 Fairfield Road Lewisburg, PA WASHINGTON National Mentor Healthcare, LLC. dba PA MENTOR 90 West Chestnut Street Suite 705 Washington, PA Waterdam Plaza Drive McMurray, PA YORK 9 Rathton Road York, PA

22 Drug & Alcohol Buprenorphine Treatment ARMSTRONG Arc Manor 200 Oak Avenue Kittanning, PA BERKS New Directions Treatment Services North Sixth Avenue West Reading, PA Yasmeen, Nikhat, M.D. Reading Psychiatry 640 Walnut Street First Floor Reading, PA BLAIR CENTRE Feaster, Craig, M.D. Susquehanna Valley Professional Associates, 320 Rolling Ridge Drive Suite CLARION Arc Manor 30 Pinnacle Drive Suite 204, 2nd Floor Clarion, PA DAUPHIN Discovery House 99 South Cameron Street Harrisburg, PA HUNTINGDON Universal Community 620 Washington Street Huntingdon, PA MCKEAN Bradford Regional Medical Center 116 Interstate Parkway MONROE Catholic Social Services, 724 Phillips Street Suite A Stroudsburg, PA NORTHUMBERLAND 148 State Route Anthra Plaza Coal Township, PA SCHUYLKILL Clinical Outcomes Group, 437 North Centre Street WARREN Deerfield of Warren, LLC 514 West Third Avenue Warren, PA Pyramid Healthcare, 2 Sellers Drive Altoona, PA CARBON Carbon Monroe Pike Drug & Alcohol Commission, 428 South Seventh Street Suite 1 Lehighton, PA Yasmeen, Nikhat, M.D. Reading Psychiatry 100 North Cameron Street Suite 401-E Harrisburg, PA NORTHAMPTON New Directions Treatment Services 2442 Brodhead Road Bethlehem, PA WAYNE Carbon Monroe Pike Drug & Alcohol Commission, 318 Tenth Street Honesdale, PA

23 Drug & Alcohol Case Coordination CENTRE Centre County MH/ID/EI - D&A 3500 East College Avenue Suite CLARION Armstrong-Indiana-Clarion D&A Commission, 1350 East Main Street Suite 30 Clarion, PA CLEARFIELD Clearfield-Jefferson Drug & Alcohol Commission 135 Midway Drive Suite A DuBois, PA MCKEAN Alcohol and Drug Abuse Services, 120 Chestnut Street Port Allegany, PA MIFFLIN Juniata Valley Tri-County D&A Commission 31 South Dorcas Street Suite D Lewistown, PA MONTOUR CMSU MH/MR and D&A Program 603 East Market Street Suite 200 Danville, PA NORTHUMBERLAND Northumberland County 217 North Center Street Sunbury, PA POTTER Potter County Human Services 62 North Street P.O. Box 241 Roulette, PA SCHUYLKILL Clinical Outcomes Group, 437 North Centre Street TIOGA Tioga County Department of Human Services 1873 Shumway Hill Road Wellsboro, PA WARREN Forest-Warren Human Services 285 Hospital Drive Warren, PA WAYNE Wayne County Human Service Agency 318 Tenth Street Wayne County D&A Commission Honesdale, PA

24 Drug & Alcohol Case Management BERKS CARBON MONTOUR SNYDER CHOR Youth & Family Services, 1010 Centre Avenue Reading, PA Treatment Access & Services Center, 19 North Sixth Street Suite 300 Reading, PA BRADFORD Bradford County Human Services Agency 220 Main Street Unit One Towanda, PA Carbon Monroe Pike Drug & Alcohol Commission, 428 South Seventh Street Suite 1 Lehighton, PA COLUMBIA CMSU MH/MR and D&A Program 277 East Seventh Street Bloomsburg, PA MONROE Catholic Social Services, 724 Phillips Street Suite A Stroudsburg, PA CMSU MH/MR and D&A Program 217 Pine Street Danville, PA SCHUYLKILL Schuylkill Medical Center - East Norwegian Street 10 East Spruce Street Frackville, PA South Second Street Suite A St. Clair, PA CMSU MH/MR and D&A Program 858 Sale Barn Road Middleburg, PA UNION CMSU MH/MR and D&A Program 88 Bull Run Crossing Suite #2 Lewisburg, PA