Provider Directory for Members. HealthChoices Berks Provider Network

Transcription

1 Provider Directory for Members HealthChoices Berks Provider Network August 2014

2 Table of Contents How To Use This Directory... 1 Art Therapy... 3 Behavioral Health Rehabilitation Services for Children and Adolescents... 4 Blended Case Management... 6 Clozaril Support Services... 7 Community Residential Rehab - Host Home... 8 Drug & Alcohol Case Management... 9 Drug & Alcohol Halfway House Drug & Alcohol Inpatient Detox Drug & Alcohol Inpatient Rehab Drug & Alcohol Intensive Outpatient Drug & Alcohol Level of Care Assessment Drug & Alcohol Methadone Maintenance Drug & Alcohol Non-hospital Detox Drug & Alcohol Non-hospital Rehab 3B Drug & Alcohol Non-hospital Rehab 3C Drug & Alcohol Outpatient Drug & Alcohol Partial Hospitalization Electroconvulsive Therapy - Inpatient Electroconvulsive Therapy - Outpatient Family-based Mental Health Services Functional Behavioral Assessment - Certified BSC...25 General Hospital - Lab Services...28 Inpatient Mental Health...29 Inpatient Mental Health Extended Acute...31 Inpatient Mental Health Sub-acute...32 Intensive Case Management...33 Mental Health Crisis - Mobile...34 Mental Health Crisis - Residential...35 Mental Health Crisis - Telephone...36 Mental Health Crisis - Walk-in...37 Mental Health Outpatient...38 Mental Health Partial Hospitalization (acute)...46 Mental Health Partial Hospitalization (non-acute)...47 Mental Health Partial Hospitalization (school-based)...48 Mobile Mental Health Treatment...49 Multisystemic Therapy...50 Peer Support Specialist...51 Psychiatric Rehabilitation - Clubhouse...52 Residential Treatment Facility - JCAHO...53 Residential Treatment Facility - Non-JCAHO...54 Resource Coordination...55 Alphabetical Index...56

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 Berks County. 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 Behavioral Health, a non-profit recoveryfocused managed care organization that promotes quality, effective, and accessible behavioral health care. If you need Behavioral Health Care Services You can get Behavioral Health 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 get needed services. Community Care Behavioral Health offers coverage for a wide range of behavioral health services. For services other than emergency and outpatient, you may call the Member Services toll-free 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 Behavioral Health is listed in the Alphabetical Index section of this directory. 1

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5 Art Therapy YORK Children's Aid Society 400 West Market Street York, PA

6 Behavioral Health Rehabilitation Services for Children and Adolescents ADAMS NHS Pennsylvania 1919 B Emmitsburg Road Gettysburg, PA Youth Advocate Programs, 26-D Spring Avenue Gettysburg, PA BEDFORD Universal Community Behavioral Health Lincoln Highway Everett, PA BERKS Alternative Consulting Enterprises, 527 East Lancaster Avenue Shillington, PA Child & Family Support 4 South Fourth Street Second Floor Reading, PA Commonwealth Clinical Group, 450 South 5th Street Reading, PA CONCERN Professional Services for Children, Youth & Families 1120 Hobart Avenue Suite C Wyomissing, PA Franklin Street Fleetwood, PA Holcomb Behavioral Health Systems 1011 Reed Avenue Suite 900 Wyomissing, PA National Mentor Healthcare, LLC. dba PA MENTOR 311 East Main Street Fleetwood, PA Pennsylvania Counseling 938 Penn Street Reading, PA Progressions Companies,, The 144 North Sixth Street Youth Advocate Programs, 2851 Centre Avenue Reading, PA BLAIR Universal Community Behavioral Health 701 Tenth Street Suite 3 Altoona, PA BUCKS Lenape Valley Foundation 500 North West Street Doylestown, PA UHS of Doylestown dba Foundations Behavioral Health 833 East Butler Avenue Doylestown, PA CHESTER Child Guidance Resource Centers 744 East Lincoln Highway Suite 420 Coatesville, PA Creative Health 1 Mennonite Church Road Spring City, PA Holcomb Behavioral Health Systems 467 Creamery Way Exton, PA Human 1140 McDermott Drive Suites 100/101 West Chester, PA CLEARFIELD Universal Community Behavioral Health 110 Walton Street Suite 1 Philipsburg, PA CLINTON Universal Community Behavioral Health 7930 Nittany Valley Drive Mill Hall, PA CUMBERLAND Pennsylvania Counseling 1 Greystone Road Carlisle, PA Pennsylvania Counseling 200 South Progress Avenue Harrisburg, PA Rosen, Howard, Ph.D. Hempfield Behavioral Health 2019 North Second Street Harrisburg, PA Salisbury Behavioral Health 2700 Commerce Drive Harrisburg, PA TrueNorth Wellness Services 5351C Jaycee Avenue, Suite 1 Route 22 Business Center Harrisburg, PA DELAWARE Child Guidance Resource Centers 2000 Old West Chester Pike Havertown, PA Devereux PA - Community Services 85 Old Eagle School Road Suite 200 Wayne, PA Holcomb Behavioral Health Systems 225 South 69th Street Upper Darby, PA FRANKLIN NHS Pennsylvania 449 Lincoln Way East Chambersburg, PA Familicare Counseling Center 501 Washington Street Suite CENTRE Universal Community Behavioral Health 190 Match Factory Place Bellefonte, PA Stevens Center, The 33 State Avenue Carlisle, PA DAUPHIN Keystone Service Systems, 3700 Vartan Way Harrisburg, PA Universal Community Behavioral Health 1331 South 7th Street Chambersburg, PA

7 Behavioral Health Rehabilitation Services for Children and Adolescents HUNTINGDON Universal Community Behavioral Health 620 Washington Street Huntingdon, PA LACKAWANNA KidsPeace National Centers, 101 Pittston Avenue 1st Floor, Suite 3 Scranton, PA LANCASTER Pennsylvania Comprehensive Behavioral Health Services, LLC. 20 B East Roseville Road Lancaster, PA Salisbury Behavioral Health 3710 Hempland Road Suite 1 Mountville, PA T.W. Ponessa & Associates Counseling Services, Inc 410 North Prince Street Lancaster, PA LEHIGH Carbon Lehigh Intermediate Unit # Independence Drive Schnecksville, PA CONCERN Professional Services for Children, Youth & Families 90 South Commerce Way Suite 300 Bethlehem, PA Holcomb Behavioral Health Systems 1405 North Cedar Crest Boulevard Suite 105 Allentown, PA MIFFLIN Universal Community Behavioral Health 25 Rothermel Drive Yeagertown, PA MONTGOMERY Access 500 Office Center Drive Suite 100 Fort Washington, PA NORTHAMPTON Access 3975 Township Road Bethlehem, PA Colonial Intermediate Unit 20 6 Danforth Drive Easton, PA PHILADELPHIA Elwyn 1 Winding Way Monroe Building, Suite 104 Philadelphia, PA SCHUYLKILL Access 340 South Liberty Street Orwigsburg, PA WAYNE KidsPeace National Centers, 100 Fourth Street 1st Floor Honesdale, PA YORK Salisbury Behavioral Health 555 Ryan Run Road Suite 201 York, PA T.W. Ponessa & Associates Counseling Services, Inc 2845 Eastern Boulevard York, PA TrueNorth Wellness Services 625 West Elm Avenue Hanover, PA Youth Advocate Programs, 907 Roosevelt Avenue York, PA Youth Advocate Programs, 1891 Santa Barbara Drive Suite 203 Lancaster, PA LEBANON Pennsylvania Counseling 350 North Sixth Avenue Lebanon, PA Philhaven 283 South Butler Road P.O. Box 550 Mt. Gretna, PA Creative Health 11 Robinson Street Pottstown, PA Progressions Companies,, The 1566 Medical Drive Suite 110 Pottstown, PA MONTOUR KidsPeace National Centers, 304 Railroad Street Danville, PA NHS Pennsylvania 651 Albright Avenue York, PA Pennsylvania Comprehensive Behavioral Health Services, LLC Freedom Way Suite 200 York, PA Pennsylvania Counseling 225 East Springettsbury Avenue York, PA

8 Blended Case Management ALLEGHENY UPMC Western Psychiatric Institute and Clinic 5231 Penn Avenue Pittsburgh, PA BERKS Salisbury Behavioral Health 1015 Penn Avenue Suite 201 Wyomissing, PA Service Access & Management, 19 North Sixth Street Suite Treatment Access & Services Center, 19 North Sixth Street Suite CHESTER Devereux PA - Community Services 1041 West Bridge Street Phoenixville, PA Human 520 East Lancaster Avenue Downingtown, PA YORK Service Access & Management, 1305 East Market Street York, PA

9 Clozaril Support Services ALLEGHENY University of Pittsburgh Physicians 3811 O'Hara Street Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 3501 Forbes Avenue Pittsburgh, PA Liberty Avenue Pittsburgh, PA BERKS Berkshire Psychiatric & Behavioral Health Services, P.C. 640 Walnut Street Suite Creative Health 321 North Furnace Street Suites 30 & 40 Birdsboro, PA Reading Hospital and Medical Center 6th Avenue & Spruce Street Building K West Reading, PA Yasmeen, Nikhat, M.D. 640 Walnut Street First Floor BUCKS Bethanna 1030 Second Street Pike Southampton, PA Lenape Valley Foundation 500 North West Street Doylestown, PA CHESTER Human 520 East Lancaster Avenue Downingtown, PA Penn Psychiatric Center, 601 Gay Street Suite #6 Phoenixville, PA DAUPHIN Pennsylvania Psychiatric Institute 401 Division Street Harrisburg, PA LANCASTER Community Services Group, 790 New Holland Avenue Lancaster, PA Philhaven 1120 Frances Avenue Lancaster, PA T.W. Ponessa & Associates Counseling Services, Inc 410 North Prince Street Lancaster, PA TEAMCare Behavioral Health, LLC 1808 Colonial Village Lane Suite 103 Lancaster, PA LUZERNE Northeast Counseling Services 130 West Washington Street Nanticoke, PA MONTGOMERY Central Montgomery MH/MR Center 1100 Powell Street Norristown, PA DeKalb Street Norristown, PA Creative Health 11 Robinson Street Pottstown, PA Fifth and Montgomery Avenue Boyertown Professional Center, Suite 208 Boyertown, PA Penn Psychiatric Center, 3774 Ridge Pike Suite 101 Collegeville, PA Resources for Human Development 850 Lancaster Avenue Second Floor Bryn Mawr, PA NORTHUMBERLAND Newton, Andrew, M.D. 129 East Fifth Street Mount Carmel, PA PERRY Stevens Center, The 6077 Spring Road Shermans Dale, PA PHILADELPHIA Elwyn 4040 Market Street Philadelphia, PA WESTMORELAND Westmoreland Regional Hospital 532 West Pittsburgh Street Greensburg, PA YORK T.W. Ponessa & Associates Counseling Services, Inc 2845 Eastern Boulevard York, PA TrueNorth Wellness Services 1195 Roosevelt Avenue York, PA

10 Community Residential Rehab - Host Home BERKS CONCERN Professional Services for Children, Youth & Families 1120 Hobart Avenue Suite C Wyomissing, PA NHS Pennsylvania 220 North Park Road Wyomissing, PA BLAIR NHS Pennsylvania 615 Howard Avenue Suite 216 Altoona, PA CHESTER Child and Family Focus, 11 Davis Road Valley Forge Office Colony, Building 2, Suite 300 Valley Forge, PA DAUPHIN National Mentor Healthcare, LLC. dba PA MENTOR 2090 Linglestown Road Suite 203 Harrisburg, PA NHS Pennsylvania 100 North Cameron Street Suite 401 Harrisburg, PA FRANKLIN NHS Pennsylvania 449 Lincoln Way East Chambersburg, PA LACKAWANNA KidsPeace National Centers, 101 Pittston Avenue 1st Floor, Suite 3 Scranton, PA LEHIGH NHS Pennsylvania 3864 Adler Place Bethlehem, PA MIFFLIN NHS Pennsylvania 25 Rothermel Drive Suite A Yeagertown, PA MONTGOMERY NHS Montgomery County 2506 North Broad Street Colmar, 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 NORTHUMBERLAND NHS Pennsylvania 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 NHS Pennsylvania One Norwegian Plaza Suite 200 Pottsville, PA WASHINGTON NHS Pennsylvania 1075 Waterdam Plaza Drive McMurray, PA YORK NHS Pennsylvania 9 Rathton Road York, PA

11 Drug & Alcohol Case Management BERKS Berks Counseling Center, 645 Penn Street Second Floor CHOR Youth & Family 1010 Centre Avenue Easy Does It, 1300 Hilltop Road Leesport, PA Walnut Street Treatment Access & Services Center, 19 North Sixth Street Suite YMCA of Reading and Berks County 631 Washington Street P.O. Box

12 Drug & Alcohol Halfway House ALLEGHENY P.O.W.E.R Church Street Pittsburgh, PA BEAVER Gateway Rehabilitation Center 100 Moffett Run Road Aliquippa, PA Seventh Avenue Third Floor Beaver Falls, PA BLAIR Pyramid Healthcare, South Eagle Valley Road Tyrone, PA Sixth Avenue Altoona, PA BUCKS Good Friends, 868 West Bridge Street P.O. Box 165 Morrisville, PA Libertae, 5245 Bensalem Boulevard Bensalem, PA CAMBRIA White Deer Run, 538 Main Street Johnstown, PA Broad Street Johnstown, PA DAUPHIN Catholic Charities 120 Willow Road Suite B Harrisburg, PA Daystar Center for Spiritual Recovery 125 North 18th Street Harrisburg, PA DELAWARE Harwood House 9200 West Chester Pike Upper Darby, PA ERIE Gaudenzia Erie, 361 West Fifth Street Erie, PA West Seventh Street Erie, PA LANCASTER Gate House for Men/Women, The 465 West Main Street Mountville, PA East Main Street Lititz, PA LEHIGH Treatment Trends, North Eighth Street Allentown, PA LUZERNE Clem-Mar House, Main Street Edwardsville, PA Church Street Dallas, PA MONTGOMERY Alternative Counseling Associates East High Street Pottstown, PA PHILADELPHIA Gaudenzia, 5401 Wayne Avenue Philadelphia, PA SCHUYLKILL Gaudenzia, 91 Broad Street Ashland, PA WASHINGTON Abstinent Living at Turning Point at Washington 199 North Main Street Washington, PA

13 Drug & Alcohol Inpatient Detox ALLEGHENY UPMC Mercy 1400 Locust Street Pittsburgh, PA CRAWFORD Meadville Medical Center 1034 Grove Street Meadville, PA MONTGOMERY Eagleville Hospital 100 Eagleville Road Eagleville, PA Valley Forge Medical Center & Hospital, 1033 West Germantown Pike Norristown, PA

14 Drug & Alcohol Inpatient Rehab CRAWFORD Meadville Medical Center 1034 Grove Street Meadville, PA MONTGOMERY Eagleville Hospital 100 Eagleville Road Eagleville, PA Valley Forge Medical Center & Hospital, 1033 West Germantown Pike Norristown, PA

15 Drug & Alcohol Intensive Outpatient ADAMS Pennsylvania Counseling 334 York Street Gettysburg, PA ALLEGHENY P.O.W.E.R Penn Avenue Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 3501 Forbes Avenue Pittsburgh, PA Kelly Street Pittsburgh, PA White Deer Run, 2100 Wharton Street Suite 120 Pittsburgh, PA BERKS Berks Counseling Center, 645 Penn Street Second Floor Pennsylvania Counseling 125 South Fifth Street Reading, PA Richard J. Caron Foundation 845 North Park Road Wyomissing, PA CHESTER Berks Counseling Center, 701 Main Street Chester Counseling Center Phoenixville, PA Gaudenzia, 110 Westtown Road Suite 115 West Chester, PA South 10th Avenue Suite 6 Coatesville, PA Holcomb Behavioral Health Systems 920 East Baltimore Pike Kennett Square, PA CUMBERLAND Gaudenzia, 4740 Delbrook Road Mechanicsburg, PA DAUPHIN Gaudenzia, 2039 North Second Street Harrisburg, PA Genesis House, 2901 North Sixth Street Harrisburg, PA Pennsylvania Counseling 4918 Locust Lane Harrisburg, PA White Deer Run, 2001 North Front Street, Building 1 Suite 212, Governor's Plaza South Harrisburg, PA LANCASTER Gaudenzia, 211 East Mifflin Street Lancaster, PA Pennsylvania Counseling 40 Pearl Street Lancaster, PA LAWRENCE White Deer Run, 413 Highland Avenue New Castle, PA LEBANON Pennsylvania Counseling 618 Cumberland Street Lebanon, PA White Deer Run, 3030 Chestnut Street Lebanon, PA LEHIGH White Deer Run, 1259 South Cedar Crest Boulevard Suite 308 Allentown, PA LYCOMING Genesis House, 800 West Fourth Street Suite G-01 Williamsport, PA YORK Colonial House, 1 East Market Street York, PA Cornerstone Counseling and Education Services 11 York Street Suite 201 Hanover, PA Pennsylvania Counseling 128 North George Street York, PA York Hospital 1101 South Edgar Street Suite A York, PA

16 Drug & Alcohol Level of Care Assessment BERKS Treatment Access & Services Center, 19 North Sixth Street Suite

17 Drug & Alcohol Methadone Maintenance ALLEGHENY UPMC Western Psychiatric Institute and Clinic 6714 Kelly Street Pittsburgh, PA BERKS New Directions Treatment Services North Sixth Avenue West Reading, PA LANCASTER Addiction Recovery Systems of Lancaster, LP 2192 Embassy Drive Lancaster, PA MONTGOMERY Habit Opco, 301 Circle of Progress Drive Pottstown, PA BALTIMORE CITY Glass Substance Abuse Programs, 2 West Aylesbury Road Timonium, MD CHESTER Advanced Treatment Systems, 1825 East Lincoln Highway Coatesville, PA DAUPHIN LEBANON Advanced Treatment Systems, 3030 Chestnut Street Lebanon, PA YORK Pyramid Healthcare, 104 Davies Drive York, PA Discovery House 99 South Cameron Street Harrisburg, PA

18 Drug & Alcohol Non-hospital Detox ALLEGHENY Pyramid Healthcare, 306 Penn Avenue Wilkinsburg, PA BEAVER Gateway Rehabilitation Center 100 Moffett Run Road Aliquippa, PA BERKS Reading Hospital and Medical Center 401 Buttonwood Street West Reading, PA BLAIR Pyramid Healthcare, 1894 Plank Road P.O. Box 967 Duncansville, PA White Deer Run, 202 Cove Forge Road Williamsburg, PA BUCKS Penn Foundation, Inc 807 Lawn Avenue P.O. Box 32 Sellersville, PA Today, 1990 Woodbourne Road Langhorne, PA CHESTER Bowling Green Brandywine, 1375 Newark Road P.O. Box 787 Kennett Square, PA Malvern Institute 940 King Road Malvern, PA DAUPHIN Gaudenzia, 2835 North Front Street Harrisburg, PA DELAWARE Keystone Center 2001 Providence Avenue Chester, PA ERIE Gaudenzia Erie, 414 West Fifth Street Erie, PA FRANKLIN UHS of Pennsylvania, dba Roxbury 601 Roxbury Road Shippensburg, PA LANCASTER White Deer Run, North West End Avenue Lancaster, PA LEBANON White Deer Run, 3030 Chestnut Street Lebanon, PA LUZERNE Clear Brook, 1100 East Northampton Street Wilkes-Barre, PA MONROE Pyramid Healthcare, 420 Supreme Court Drive East Stroudsburg, PA MONTGOMERY Eagleville Hospital 100 Eagleville Road Eagleville, PA Valley Forge Medical Center & Hospital, 1033 West Germantown Pike Norristown, PA PHILADELPHIA Fairmount Behavioral Health Systems 561 Fairthorne Avenue Philadelphia, PA SCHUYLKILL Firetree, Ltd South Centre Street Conewago Pottsville Pottsville, PA SOMERSET Twin Lakes Center 224 Twin Lake Road Somerset, PA UNION White Deer Run, 360 White Deer Run Road P.O. Box 97 Allenwood, PA

19 Drug & Alcohol Non-hospital Rehab 3B ALLEGHENY Pyramid Healthcare, 306 Penn Avenue Wilkinsburg, PA BEAVER Gateway Rehabilitation Center 100 Moffett Run Road Aliquippa, PA BERKS Reading Hospital and Medical Center 401 Buttonwood Street West Reading, PA BLAIR Pyramid Healthcare, 1894 Plank Road P.O. Box 967 Duncansville, PA White Deer Run, 202 Cove Forge Road Williamsburg, PA BUCKS Penn Foundation, Inc 807 Lawn Avenue P.O. Box 32 Sellersville, PA Pyramid Healthcare, 2705 Old Bethlehem Pike Quakertown, PA Today, 1990 Woodbourne Road Langhorne, PA CHESTER Bowling Green Brandywine, 1375 Newark Road P.O. Box 787 Kennett Square, PA Malvern Institute 940 King Road Malvern, PA DAUPHIN Firetree, Ltd. 424 Nye Road Conewago Place Hummelstown, PA Gaudenzia, 2835 North Front Street Harrisburg, PA DELAWARE Keystone Center 2001 Providence Avenue Chester, PA ERIE Gaudenzia Erie, 414 West Fifth Street Erie, PA FRANKLIN UHS of Pennsylvania, dba Roxbury 601 Roxbury Road Shippensburg, PA LANCASTER SACA Nuestra Clinica 50 East New Street Lancaster, PA White Deer Run, North West End Avenue Lancaster, PA LEBANON White Deer Run, 3030 Chestnut Street Lebanon, PA LEHIGH White Deer Run, 8284 Leaser Road Kempton, PA LUZERNE Clear Brook, 1100 East Northampton Street Wilkes-Barre, PA Bethel Hill Road Shickshinny, PA MIFFLIN Pyramid Healthcare, 3893 West Main Street Belleville, PA MONROE Pyramid Healthcare, 420 Supreme Court Drive East Stroudsburg, PA MONTGOMERY Eagleville Hospital 100 Eagleville Road Eagleville, PA Valley Forge Medical Center & Hospital, 1033 West Germantown Pike Norristown, PA NORTHAMPTON White Deer Run, 1620 Riverside Drive Lehigh County Center for Recovery Bethlehem, PA PHILADELPHIA Fairmount Behavioral Health Systems 561 Fairthorne Avenue Philadelphia, PA Gaudenzia, 1306 Spring Garden Street Philadelphia, PA SCHUYLKILL Firetree, Ltd South Centre Street Conewago Pottsville Pottsville, PA SOMERSET Twin Lakes Center 224 Twin Lake Road Somerset, PA UNION White Deer Run, 360 White Deer Run Road P.O. Box 97 Allenwood, PA

20 Drug & Alcohol Non-hospital Rehab 3C ALLEGHENY Alpha House, 435 Shady Avenue Pittsburgh, PA Gaudenzia Erie, 2012 Centre Avenue P.O. Box 2548 Pittsburgh, PA Pyramid Healthcare, 4447 Gibsonia Road Gibsonia, PA Salvation Army Harbor Light Center, The 865 West North Avenue Pittsburgh, PA BEAVER Gateway Rehabilitation Center 100 Moffett Run Road Aliquippa, PA BERKS Community Education Centers Madison Avenue ADAPPT House BLAIR Pyramid Healthcare, 1894 Plank Road P.O. Box 967 Duncansville, PA BUCKS Libertae, 5245 Bensalem Boulevard Bensalem, PA Pyramid Healthcare, 2705 Old Bethlehem Pike Quakertown, PA Today, 1990 Woodbourne Road Langhorne, PA CHESTER Bowling Green Brandywine, 1375 Newark Road P.O. Box 787 Kennett Square, PA Gaudenzia, 1030 South Concord Road West Chester, PA Samara House 423 East Lincoln Highway Coatesville, PA DAUPHIN Gaudenzia, 124 Azalea Drive Building #21 Harrisburg, PA Chambers Hill Road Harrisburg, PA ERIE Gaudenzia Erie, 414 West Fifth Street Erie, PA FOREST Cornell Abraxas Group, Blue Jay Village, Forest Road P.O. Box 59 Marienville, PA LANCASTER Gaudenzia, 208 East King Street Lancaster, PA SACA Nuestra Clinica 50 East New Street Lancaster, PA LEHIGH Treatment Trends, South Sixth Street Allentown, PA LUZERNE Clear Brook, 890 Bethel Hill Road Shickshinny, PA MERCER George Junior Republic in Pennsylvania 233 George Junior Road P.O. Box 1058 Grove City, PA MIFFLIN Pyramid Healthcare, 3893 West Main Street Belleville, PA MONROE Pyramid Healthcare, 420 Supreme Court Drive East Stroudsburg, PA MONTGOMERY Eagleville Hospital 100 Eagleville Road Eagleville, PA Resources for Human Development 120 Ardmore Avenue Ardmore, PA Dekalb Street Norristown, PA PHILADELPHIA Gaudenzia, 1300 Tulpehocken Street Philadelphia, PA Spring Garden Street Philadelphia, PA North Broad Street Philadelphia, PA SCHUYLKILL Firetree, Ltd South Centre Street Conewago Pottsville Pottsville, PA Gaudenzia, 95 Broad Street Ashland, PA WESTMORELAND Adelphoi Village, 1108 Village Way Latrobe, PA YORK Colonial House, 1300 Woodberry Road York, PA

21 Drug & Alcohol Outpatient ADAMS Pennsylvania Counseling 334 York Street Gettysburg, PA ALLEGHENY P.O.W.E.R Penn Avenue Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 1835 Centre Avenue Pittsburgh, PA Forbes Avenue Pittsburgh, PA Kelly Street Pittsburgh, PA White Deer Run, 2100 Wharton Street Suite 120 Pittsburgh, PA BERKS Berks Counseling Center, 1040 Berks Road Leesport, PA North Second Street Penn Street Second Floor Family Guidance Center 1235 Penn Avenue Suite , 306 Wyomissing, PA New Directions Treatment Services North Sixth Avenue West Reading, PA Pennsylvania Counseling 125 South Fifth Street Reading, PA Reading Hospital and Medical Center 321 Furnace Street Suite 100 Birdsboro, PA th Avenue & Spruce Street Building K West Reading, PA Main Street Kutztown University, Old Main Building Kutztown, PA Richard J. Caron Foundation 845 North Park Road Wyomissing, PA CHESTER Berks Counseling Center, 701 Main Street Chester Counseling Center Phoenixville, PA Gaudenzia, 110 Westtown Road Suite 115 West Chester, PA South 10th Avenue Suite 6 Coatesville, PA Holcomb Behavioral Health Systems 920 East Baltimore Pike Kennett Square, PA Samara House 423 East Lincoln Highway Coatesville, PA CUMBERLAND Diakon Child, Family & Community Ministries 960 Century Drive Mechanicsburg, PA Gaudenzia, 4740 Delbrook Road Mechanicsburg, PA Pennsylvania Counseling 1 Greystone Road Carlisle, PA Stevens Center, The 33 State Avenue Carlisle, PA UHS of Pennsylvania, dba Roxbury 50 Spring Garden Street Minerva Mills Building Carlisle, PA DAUPHIN Gaudenzia, 2039 North Second Street Harrisburg, PA Genesis House, 2901 North Sixth Street Harrisburg, PA Pennsylvania Counseling 4918 Locust Lane Harrisburg, PA White Deer Run, 2001 North Front Street, Building 1 Suite 212, Governor's Plaza South Harrisburg, PA DELAWARE Holcomb Behavioral Health Systems 225 South 69th Street Upper Darby, PA ERIE Gaudenzia Erie, 141 West 11th Street Erie, PA FRANKLIN UHS of Pennsylvania, dba Roxbury 25 Penncraft Avenue Suite 312 Chambersburg, PA LANCASTER Gaudenzia, 211 East Mifflin Street Lancaster, PA Pennsylvania Counseling 40 Pearl Street Lancaster, PA SACA Nuestra Clinica 545 Pershing Avenue Lancaster, PA

22 Drug & Alcohol Outpatient LANCASTER (CONTINUED) T.W. Ponessa & Associates Counseling Services, Inc 410 North Prince Street Lancaster, PA LAWRENCE White Deer Run, 413 Highland Avenue New Castle, PA LEBANON Pennsylvania Counseling 618 Cumberland Street Lebanon, PA White Deer Run, 3030 Chestnut Street Lebanon, PA LEHIGH White Deer Run, 1259 South Cedar Crest Boulevard Suite 308 Allentown, PA LYCOMING Genesis House, 800 West Fourth Street Suite G-01 Williamsport, PA White Deer Run, 520 West Fourth Street Williamsport, PA MONTGOMERY Creative Health 11 Robinson Street Pottstown, PA Penn Street Pennsburg, PA NORTHAMPTON Recovery Revolution, 109 Broadway Bangor, PA NORTHUMBERLAND NHS Pennsylvania 148 State Route Anthra Plaza Coal Township, PA YORK Colonial House, 1 East Market Street York, PA Cornerstone Counseling and Education Services 11 York Street Suite 201 Hanover, PA Pennsylvania Counseling 128 North George Street York, PA T.W. Ponessa & Associates Counseling Services, Inc 2845 Eastern Boulevard York, PA York Hospital 1101 South Edgar Street Suite A York, PA Yorktowne Psychological Services 220 East King Street York, PA

23 Drug & Alcohol Partial Hospitalization ALLEGHENY Pyramid Healthcare, 4447 Gibsonia Road Gibsonia, PA UPMC Western Psychiatric Institute and Clinic 3501 Forbes Avenue Pittsburgh, PA White Deer Run, 2100 Wharton Street Suite 120 Pittsburgh, PA BLAIR Pyramid Healthcare, 1894 Plank Road P.O. Box 967 Duncansville, PA White Deer Run, 202 Cove Forge Road Williamsburg, PA LYCOMING White Deer Run, 901 Westminster Drive Williamsport, PA

24 Electroconvulsive Therapy - Inpatient ALLEGHENY St. Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh, PA UPMC Western Psychiatric Institute and Clinic 3811 O'Hara Street Pittsburgh, PA BERKS Reading Hospital and Medical Center 6th Avenue & Spruce Street Building K West Reading, PA WASHINGTON Washington Hospital, The 155 Wilson Avenue Washington, PA YORK York Hospital 1001 South George Street York, PA

25 Electroconvulsive Therapy - Outpatient ALLEGHENY UPMC Western Psychiatric Institute and Clinic 3811 O'Hara Street Pittsburgh, PA BERKS Reading Hospital and Medical Center 6th Avenue & Spruce Street Building K West Reading, PA WASHINGTON Washington Hospital, The 155 Wilson Avenue Washington, PA YORK York Hospital 1001 South George Street York, PA

26 Family-based Mental Health Services ALLEGHENY UPMC Western Psychiatric Institute and Clinic 1011 Bingham Street Pittsburgh, PA BERKS New Life Cognitive Behavioral 522 Court Street Pennsylvania Counseling 938 Penn Street Reading, PA Salisbury Behavioral Health 1015 Penn Avenue Suite 201 Wyomissing, PA CENTRE Universal Community Behavioral Health 190 Match Factory Place Bellefonte, PA CHESTER Child and Family Focus, 11 Davis Road Valley Forge Office Colony, Building 2, Suite 300 Valley Forge, PA Creative Health 1 Mennonite Church Road Spring City, PA Devereux PA - Community Services 1041 West Bridge Street Phoenixville, PA Holcomb Behavioral Health Systems 467 Creamery Way Exton, PA Human 1140 McDermott Drive Suites 100/101 West Chester, PA NHS Chester County 503 North Walnut Road Kennett Square, PA CUMBERLAND Pennsylvania Counseling 1 Greystone Road Carlisle, PA Stevens Center, The 33 State Avenue Carlisle, PA DAUPHIN Pennsylvania Counseling 200 South Progress Avenue Harrisburg, PA DELAWARE Holcomb Behavioral Health Systems 225 South 69th Street Upper Darby, PA HUNTINGDON Universal Community Behavioral Health 620 Washington Street Huntingdon, PA LANCASTER Catholic Charities 417 Poplar Street Lancaster, PA LEBANON Pennsylvania Counseling 350 North Sixth Avenue Lebanon, PA YORK Catholic Charities 6156 West Canal Road Paradise School Abbottstown, PA Manito, 1681 Kenneth Road York, PA Pennsylvania Counseling 225 East Springettsbury Avenue York, PA Philhaven 1245 A West Princess Street York, PA TrueNorth Wellness Services 625 West Elm Avenue Hanover, PA

27 Functional Behavioral Assessment - Certified BSC ADAMS NHS Pennsylvania 1919 B Emmitsburg Road Gettysburg, PA FBA - Certified BSCs: Celaya, Jennifer Myers, Jamie Walker, Samantha BERKS Alternative Consulting Enterprises, 527 East Lancaster Avenue Shillington, PA FBA - Certified BSCs: Ferragame, Michael Child & Family Support 4 South Fourth Street Second Floor FBA - Certified BSCs: Danenhower, Melanie Kowalski, Lisa Lynch, Christopher Roecker Coates, Nancy Familicare Counseling Center 501 Washington Street Suite FBA - Certified BSCs: Carrillo, Mercedes Hilbert, David Rentas-Smith, Belinda Taveras, Marinelly Vikhliaeva, Natalia Wooten, Helenn Progressions Companies,, The 144 North Sixth Street FBA - Certified BSCs: Bereski, Marilyn Elk, Jessica Hutchinson, Willie Piper, Kathy Swoyer, Susan BLAIR Universal Community Behavioral Health 701 Tenth Street Suite 3 Altoona, PA FBA - Certified BSCs: Lowenstein, Rob Newberry, Brenda Sitosky, Matthew BUCKS Lenape Valley Foundation 500 North West Street Doylestown, PA FBA - Certified BSCs: Bliven, Renee Smith, Shara Stamm, Helen Stephens, Jeff UHS of Doylestown dba Foundations Behavioral Health 833 East Butler Avenue Doylestown, PA FBA - Certified BSCs: Samit-Mahoney, Lisa CHESTER Child Guidance Resource Centers 744 East Lincoln Highway Suite 420 Coatesville, PA FBA - Certified BSCs: Vaughn-Reich, Julie Creative Health 1 Mennonite Church Road Spring City, PA FBA - Certified BSCs: Carson, Donna Conrad, Christi Fusick, Lisa Gay, Nikeasha Hartley, Amy Kelley, Elizabeth Lombardo, Nicole Ritchie, Greg Santhanam, Deepa Weckerel, Joe Williams, Darryl Devereux PA - Community Services 85 Old Eagle School Road Suite 200 Wayne, PA FBA - Certified BSCs: Coles, Crystal Galambos, Stephen Mazzatella, Bernadette Human 1140 McDermott Drive Suites 100/101 West Chester, PA FBA - Certified BSCs: Ernst, Tom CLEARFIELD Universal Community Behavioral Health 110 Walton Street Suite 1 Philipsburg, PA FBA - Certified BSCs: Leverknight, Dale Timmons, Don CLINTON Universal Community Behavioral Health 7930 Nittany Valley Drive Mill Hall, PA FBA - Certified BSCs: Starr, Tanya Suders, Kristin CUMBERLAND Stevens Center, The 33 State Avenue Carlisle, PA FBA - Certified BSCs: Blaisure, Terra DAUPHIN Keystone Service Systems, 3700 Vartan Way Harrisburg, PA FBA - Certified BSCs: Alexander, Constance Grilli, Cassandra Hewitt, Daryl Howell, Todd Hurley, Erin Stanton, Meredith Swartzwelder, Justin Taylor, Lisa Walker, Erin TrueNorth Wellness Services 5351C Jaycee Avenue, Suite 1 Route 22 Business Center Harrisburg, PA FBA - Certified BSCs: Abrams, Christine Balko, Melissa Bard, Daniela Baron, Samantha Becker, Keya Bender, Shelley Bensperger, Mary Bergmann, Kelly Boggs, Megan Bryan, Tara Carroll, Deborah Cashman, Wendy Chenoweth, Amber Cherry, Shannon Cleck, Dennis Conner, Sarah Conover, Krystal Davidson, Jennifer Davis, Kathy Ernest, James Ferrari, Chad Green, Erin Guise, Michael Hahn, Connie Hartzell, Jennifer Knouse, Melissa Kuykendall, Kendra Lewis, Patricia Long, Erika McMahon-Gilly, Jane Meck, Abby Miller, Amanda Mullineaux, Melissa Murphy, Erin Myers, Crystal Noble, Michael Osterman, Erika Owings, Cynthia Paules, Barbara Polanco, Venensy Reh, Kelly Robinson, Chris Ruppel, Nancy Seletzky-Davidson, Jennifer Shearer, Lacey Shoff, Donna Smith, Amy Sneeringer, Katie Snyder, Megan Sobeck, Heather Stuck, Kolby 25

28 Functional Behavioral Assessment - Certified BSC DAUPHIN (CONTINUED) FBA - Certified BSCs: (continued) Swiger, Bruce Terrazas, Tammy Tuckey, Katherine Walker, Ashley Winger, Christina FRANKLIN NHS Pennsylvania 449 Lincoln Way East Chambersburg, PA FBA - Certified BSCs: Dumerve, Sheila Heppner, Christina Papoutsis, George Scherr-Phillips, Missy Starry, Linda Staub, Laura HUNTINGDON Universal Community Behavioral Health 620 Washington Street Huntingdon, PA FBA - Certified BSCs: Strimel, Kristen LEBANON Philhaven 283 South Butler Road P.O. Box 550 Mt. Gretna, PA FBA - Certified BSCs: Burns, Michelle Dovenspike, Hans Frantz, Lindsay Grier, Jessica Kilgore, Linda Moore, Moira LEHIGH Carbon Lehigh Intermediate Unit # Independence Drive Schnecksville, PA FBA - Certified BSCs: Anthony, Kathy Cascioli, Susan Erlandsen, Joyce Glose, Bonnie Granitz, Nicole Haas-Givler, Barbara Laczo, Andrea Marouchoc, David Rufo, Jennifer Schaeffer, Suzanne Sedgwick, Diane Subick, Tracey Vargo, Richard MONTGOMERY Progressions Companies,, The 1566 Medical Drive Suite 110 Pottstown, PA FBA - Certified BSCs: Andrus, Dixie Fenchel, Jessica Kryman, Tara NORTHAMPTON Colonial Intermediate Unit 20 6 Danforth Drive Easton, PA FBA - Certified BSCs: Baker, Nikki Murphy, Jennifer Smith, Kenneth SCHUYLKILL Access 340 South Liberty Street Orwigsburg, PA FBA - Certified BSCs: McNamara, Kevin Subick, Tracey YORK NHS Pennsylvania 651 Albright Avenue York, PA FBA - Certified BSCs: Cavnanaugh, Kristin Jacobs, Steve Myers, Jamie Walker, Samanatha T.W. Ponessa & Associates Counseling Services, Inc 2845 Eastern Boulevard York, PA FBA - Certified BSCs: Anspach, Charles Bacon, Debbie Baramini, Rushann Bateman, Katie Batista, Jose Bekavac, Cathy Bennett, Stephen Binns, Tera Braxton, Belinda Brinton, Marily Brown, Emanuel Ciavolla, Colleen Clay, Steve Clearwater, Craig Connor, Micheal Crespo, Maritza Daniels, Debra Davis, Crystal Delcollo, Daniel Dixon, Cara Domowski, Patience Dorsey, Amanda Falvey, Janel Farley, Lauren Farward, Amber Firestone, Cindy Fogle, Christina Francis, Shelley Gilbert, Melissa Grassey, Justin Guerra, Michelle Hamandi, Merrie Hunt, Melanie Johns, Kanice Johnson, Jeffrey Kendus, Nicholaus Keri, Michelle King, James Kosmalski, Holly Laffey, Laura Lyden, Brittany Madyun, Abdul Margolis, Tanya Marshall-Davis, Kate Massicot, Wendi McElhenny, Phoebe McFerren, Amanda McIntire, Barb Mueller, Craig Murray, Jennifer Neary, Katie Olechowski, Theresa Olszewski, Treavor Ortiz, Berney Owens, Ryan Pagnotti, Megan Reichenback, James Rich, Patti Riedel, Alyson Rossi, Stacey Rothfus, Christy Rudick, April Rupp, Carla Schlegimilch, Jessi Schweitzer, Rebecca Shearer, Toshia Siegrist, Jeffrey Smith, Kelly Snapp, Kevin Snyder, William Socci, Kristen Stambaugh, Lisa Stasek, Dan Tracey, Keri Ann Varisano, Saybra Walheim, Kimberly Whitehead, Lamar Wimer, Robert Witner, Abby TrueNorth Wellness Services 625 West Elm Avenue Hanover, PA FBA - Certified BSCs: Abrams, Christine Balko, Melissa Bard, Daniela Baron, Samantha Becker, Keya Bender, Shelley Bensperger, Mary Bergmann, Kelly Boggs, Megan Bryan, Tara Carroll, Deborah Cashman, Wendy Chenoweth, Amber Cherry, Shannon Cleck, Dennis Conner, Sarah Conover, Krystal Davidson, Jennifer Davis, Kathy Ernest, James Ferrari, Chad Green, Erin Guise, Micheal Hahn, Connie Hartzell, Jennifer Henry, Theresa Kelly Reh, Kelly Reh Knouse, Melissa Kuykendall, Kendra Lewis, Patricia Long, Erika McMahon-Gilly, Jane Meck, Abby Miller, Amanda Mullineaux, Melissa Murphy, Erin Myers, Crystal Noble, Michael Osterman, Erika Owings, Cynthia 26

29 Functional Behavioral Assessment - Certified BSC YORK (CONTINUED) FBA - Certified BSCs: (continued) Paules, Barbara Polanco, Venensy Robinson, Chris Rostek, Liz Ruppel, Nancy Seletzky-Davidson, Jennifer Shearer, Lacey Shoff, Donna Smith, Amy Sneeringer, Katie Snyder, Megan Sobeck, Heather Stuck, Kolby Susek, Amy Swiger, Bruce Terrazas, Tammy Toe, Palleh Tuckey, Katherine Walker, Ashley Winger, Christina 27

30 General Hospital - Lab Services ALLEGHENY St. Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh, PA UPMC McKeesport Behavioral Health Center 1500 Fifth Avenue McKeesport, PA UPMC Western Psychiatric Institute and Clinic 3811 O'Hara Street Pittsburgh, PA BERKS Reading Hospital and Medical Center 6th Avenue & Spruce Street Building K West Reading, PA BUCKS St. Luke's Quakertown Hospital 1021 Park Avenue Quakertown, PA CAMBRIA Conemaugh Valley Memorial Hospital 1086 Franklin Street Johnstown, PA CHESTER Brandywine Hospital 201 Reeceville Road Coatesville, PA CUMBERLAND Holy Spirit Hospital Behavioral Health Services 503 North 21st Street Camp Hill, PA MONTGOMERY Pottstown Memorial Medical Center 1600 East High Street Pottstown, PA Valley Forge Medical Center & Hospital, 1033 West Germantown Pike Norristown, PA VENANGO UPMC Northwest 100 Fairfield Drive Seneca, PA WASHINGTON Washington Hospital, The 155 Wilson Avenue Washington, PA WESTMORELAND Westmoreland Regional Hospital 532 West Pittsburgh Street Greensburg, PA CRAWFORD Meadville Medical Center 1034 Grove Street Meadville, PA

31 Inpatient Mental Health ALLEGHENY Southwood Psychiatric Hospital 2575 Boyce Plaza Road Pittsburgh, PA St. Clair Memorial Hospital 1000 Bower Hill Road Pittsburgh, PA UPMC McKeesport Behavioral Health Center 1500 Fifth Avenue McKeesport, PA UPMC Western Psychiatric Institute and Clinic 3811 O'Hara Street Pittsburgh, PA BERKS Haven Behavioral Hospital of Eastern Pennsylvania 145 North 6th Street Reading Hospital and Medical Center 6th Avenue & Spruce Street Building K West Reading, PA BUCKS St. Luke's Quakertown Hospital 1021 Park Avenue Quakertown, PA UHS of Doylestown dba Foundations Behavioral Health 833 East Butler Avenue Doylestown, PA CAMBRIA Conemaugh Valley Memorial Hospital 1086 Franklin Street Johnstown, PA CENTRE Meadows Psychiatric Center, The 132 The Meadows Drive Centre Hall, PA CHESTER Brandywine Hospital 201 Reeceville Road Coatesville, PA Devereux PA - Childrens Behavioral Health Services 655 Sugartown Road P.O. Box 275 Malvern, PA CLARION Clarion Psychiatric Center Two Hospital Drive Clarion, PA CRAWFORD Meadville Medical Center 1034 Grove Street Meadville, PA CUMBERLAND Holy Spirit Hospital Behavioral Health Services 503 North 21st Street Camp Hill, PA FRANKLIN Roxbury Psychiatric Hospital 601 Roxbury Road Shippensburg, PA LANCASTER Lancaster General Hospital 555 North Duke Street Lancaster, PA LEBANON Philhaven 283 South Butler Road P.O. Box 550 Mt. Gretna, PA LEHIGH KidsPeace Hospital, 5300 KidsPeace Drive Orefield, PA St. Luke's Hospital - Bethlehem 801 Ostrum Street Bethlehem, PA MONTGOMERY Brooke Glen Behavioral Hospital 7170 Lafayette Avenue Fort Washington, PA Eagleville Hospital 100 Eagleville Road Eagleville, PA Horsham Clinic 722 East Butler Pike Ambler, PA Montgomery County Emergency 50 Beech Drive Norristown, PA Pottstown Memorial Medical Center 1600 East High Street Pottstown, PA NEW CASTLE Rockford Center 100 Rockford Drive Newark, DE PHILADELPHIA Fairmount Behavioral Health Systems 561 Fairthorne Avenue Philadelphia, PA Friends Hospital 4641 Roosevelt Boulevard Philadelphia, PA SCHUYLKILL Schuylkill Medical Center - East Norwegian Street 700 East Norwegion Street Pottsville, PA VENANGO UPMC Northwest 100 Fairfield Drive Seneca, PA WASHINGTON Brook Lane Health Services Brook Lane Drive Hagerstown, MD

32 Inpatient Mental Health WASHINGTON (CONTINUED) Washington Hospital, The 155 Wilson Avenue Washington, PA WESTMORELAND Westmoreland Regional Hospital 532 West Pittsburgh Street Greensburg, PA YORK York Hospital 1001 South George Street York, PA

33 Inpatient Mental Health Extended Acute CUMBERLAND Holy Spirit Hospital Behavioral Health Services 503 North 21st Street Camp Hill, PA LEBANON Philhaven 283 South Butler Road P.O. Box 550 Mt. Gretna, PA

34 Inpatient Mental Health Sub-acute ALLEGHENY Southwood Psychiatric Hospital 2575 Boyce Plaza Road Pittsburgh, PA

35 Intensive Case Management BERKS Service Access & Management, 19 North Sixth Street Suite CUMBERLAND Holy Spirit Hospital Behavioral Health Services 503 North 21st Street Camp Hill, PA Stevens Center, The 33 State Avenue Carlisle, PA HUNTINGDON Universal Community Behavioral Health 620 Washington Street Huntingdon, PA YORK Service Access & Management, 1305 East Market Street York, PA York/Adams MH-IDD Program 100 West Market Street Suite 301 York, PA North Franklin Street Hanover, PA