MENTAL HEALTH FACILITY CERTIFICATION LISTING
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1 Name and Address ALABAA AL SUDRF Bradford Health Services Huntsville Bradford Health Services 555 Sparkman Drive, Suite 8 Huntsville, AL 358 Phone: (256) EIN: Adult Evening Sub Use Half Day Evening Use 1/2 Day Thursday onday - Thursday 10 10/7/02 10/7/02 4/27/09 4/27/09 Adult id Day onday - Thursday 10/7/02 4/27/09 AL SUDRF Bradford Health Services - Huntsville Lodge Bradford Health Services 00 Browns Ferry Road adison, AL Phone: (256) EIN: /Adult Inpatient Rehab Rehab/Detox Adult Sub Use Full Day Sunday /29/ /29/ /29/1993 6//09 6//09 6//09 AL SUDRF Bradford Health Services - Warrior Lodge Bradford Health Services 1189 Allbritton Road Warrior, AL Phone: (256) EIN: Adult Detox Rehabilitation Adult Sub Use Full Day /4/1993 2/4/1993 2/4/1993 1/7/09 1/7/09 1/7/09 Page 1
2 Name and Address ALABAA ALASKA AK RTC DeBarr Residential Treatment Center Frontline Hospital, LLC 1500 DeBarr Circle Anchorage, AK Phone: (907) EIN: ARKANSAS AR RTC BHC Pinnacle Pointe Hospital Financial Center Parkway Little Rock, AR Phone: (501) EIN: RTC 60 7//08 8/28/09 Child 40 7/22/1994 7/22/1994 2/28/11 2/28/11 CALIFORNIA CA SUDRF New Bridge Foundation New Bridge Foundation, Inc. 18 Scenic Avenue Berkeley, CA Phone: (510) EIN: Rehabilitation Sub Use Full Day Saturday /18/03 2/18/03 /10/08 /10/08 CA PHP College Hospital Partial Costa esa College Hospital Partial Hospital -Costa esa 301 Victoria Street Costa esa, CA Phone: (949) EIN: Adult Half Day 24 10/15/08 10/15/08 Page 2
3 Name and Address ALABAA CA PHP College Hospital Partial Laguna Woods College Hospital Partial Hospital - Laguna El Toro Rd. Bldg A #0 Laguna Woods, CA Phone: (949) EIN: CA SUDRF Lasting Recovery Farkas & Saalinger Psychological Corp 6046 Cornerstone Ct W. #13 San Diego, CA 921 Phone: (858) EIN: Adult Half Day Adult id Day F 74 10/15/08 10/15/08 5/7/10 5/7/10 COLORADO CO RTC CBR Youth Connect CBR Youth Connect Hwy 109 La Junta, CO Phone: (719) EIN: CO RTC Cedar Springs Behavioral Health Systems, Inc. PSI Cedar Springs Hospital, Inc Southgate Road Colorado Springs, CO Phone: (719) EIN: RTC 21 8//07 11//09 Child/ 24 10/19/1990 4/15/08 Page 3
4 Name and Address ALABAA CONNECTICUT CT SUDRF Stonington Institute Stonington Behavioral Health, Inc. 75 Swanton Hill Road North Stonington, CT Phone: (860) EIN: Adult Full Day Rehabilitation /28/10 1/28/10 1/28/10 1/28/10 Detox/Inpt. Rehab 13 1/28/10 1/28/10 FLORIDA FL RTC LaAmistad Behavioral Health Services LaAmistad Behavioral Health Solutions 50 Park Avenue North aitland, FL Phone: (407) EIN: Child F /23/1999 7/23/1999 7/23/1999 4/9/08 4/9/08 4/9/08 FL RTC anatee Palms Youth Services Premier Behavioral Solution st Street West Bradenton, FL Phone: (941) EIN: Child F 5/29/09 5/29/09 5/29/09 7/19/10 7/19/10 7/19/10 FL RTC River Point Behavioral TBJ Behavioral Center LLC 6300 Beach Blvd Jacksonville, FL 322 Phone: (904) EIN: RTC 18 8//08 /23/08 Page 4
5 Name and Address ALABAA FL SUDRF Challenges Treatment Resources of argate, Inc Coconut Creek Parkway argate, FL Phone: (954) EIN: Adult Full Day 29 2/24/10 2/24/10 FL SUDRF The Friary 4400 Hickory Shores Blvd Gulf Breeze, FL Phone: (850) EIN: Adult Detox Rehabilitation /17/1993 9/17/1993 9//08 9//08 Adult Sub Use Full Day Saturday 9/17/1993 9//08 FL SUDRF Twelve Oaks Alcohol Drug Treatment Center Bowling Green Inn of Pensacola 68 Healthcare Avenue Navarre, FL Phone: (850) EIN: Adult Detox/Rehab Adult Sub Use Full Day Sub Use Full Day Sunday Sunday 70 7/19/1993 7/19/1993 7/19/1993 6/30/09 6/30/09 6/30/09 GEORGIA GA RTC Coastal Harbor Treatment Center UHS of Savannah, LLC 1150 Cornell Avenue Savannah, GA Phone: (9) EIN: Child/Preadolescent /18/09 1/18/09 1/30/09 1/30/09 Page 5
6 Name and Address ALABAA GA RTC Laurel Heights UHS Laurel Heights L.P. 934 Briarcliff Road NE Atlanta, GA Phone: (404) EIN: /14/10 9/14/10 GA RTC Youth Villages Youth Villages, Inc Dorsett Shoals Road Douglasville, GA Phone: (901) EIN: Child/Preadolescent 4/30/1997 4/30/1997 /5/08 /5/08 GA SUDRF Bradford Health Services - Columbus Bradford Health Services 860 Brookstone Center Parkway Suite A Columbus, GA Phone: (706) EIN: Adult Evening Sub Use Half Day /Adult Sub Use Half Day Thursday onday - Thursday 18 8 /27/07 /27/07 1/10/11 1/10/11 GA SUDRF Bradford Health Bradford Health Services-Augusta 105 Rossmore Place Augusta, GA Phone: (706) EIN: /Adult Sub Use Half Day Adult Evening Sub Use Half Day Thursday 8 10/5/05 10/5/05 10/31/08 10/31/08 Page 6
7 Name and Address ALABAA GA SUDRF Recovery Place, Inc 835 East 65th Street Savannah, GA Phone: (9) EIN: HAWAII HI RTC Kahi ohala Behavioral Sutter Health Pacific Fort Weaver Road Ewa Beach, HI Phone: (808) EIN: HI RTC The Queen s edical Center/ Family Treatment Center The Queen's edical Center 1301 Punchbowl Honolulu, HI Phone: (808) EIN: IDAHO ID RTC Eastern Idaho Regional Center - Behavioral Health Center Eastern Idaho Health Services, Inc East 25th Street Idaho Falls, ID Phone: (8) EIN: Adult Half Day Adult Half Day 11/5/03 11/5/03 11/19/10 11/19/10 Child/ 9//1999 5//08 Unit East Child 14 4/8/03 4/8/03 10/22/10 10/22/10 RTC 22 10/19/09 10/19/09 Page 7
8 Name and Address ALABAA ID RTC Kootenai edical Center Kootenai Behavioral Health Center 03 Kootenai Health Way Coeur D'Alene, ID Phone: (8) EIN: RTC 36 /30/09 /30/09 INDIANA IN RTC ichiana Behavioral Health Center HHC Indiana, Inc North Oak Road Plymouth, IN Phone: (574) EIN: Child/ 29 8//04 11/9/09 IN RTC Valle Vista Health Valle Vista Hospital, LLC. 898 East ain Street Greenwood, IN Phone: (317) EIN: Child/ Child/ F //04 4//04 4/15/09 4/15/09 KENTUCKY KY RTC The Broeck Hosp-Dupont TBD Acquisition, LLC Browns Lane Louisville, KY 407 Phone: (502) EIN: Child 6/2/08 6/2/08 Page 8
9 Name and Address ALABAA KY RTC The Broeck Hosp-KI KI Acquisition 8521 LaGrange Road Louisville, KY Phone: (502) EIN: /8/08 6/8/08 LOUISIANA LA SUDRF Addiction Recovery Addiction Recovery Resources, Inc Wabash etairie, LA Phone: (504) EIN: ICHIGAN I PHP Havenwyck Hospital 1525 University Drive Auburn Hills, I Phone: (248) EIN: Adult Full Day Adult Full Day Child/ Full Day 6/8/09 6/8/ /24/1997 8/27/ /24/1997 8/27/09 ISSOURI O RTC Crittenton Children s Center - Crittenton Center Elm Avenue Kansas City, O Phone: (8) EIN: RTC 18 8/15/05 3/11/10 Page 9
10 Name and Address ALABAA O RTC Heartland Behavioral Health Services, Inc. Great Plains Hospital, Inc West Ashland Nevada, O Phone: (417) EIN: O RTC Lakeland Regional Lakeland Hospital Acquisition Corporation 440 South arket Avenue Springfield, O Phone: (417) EIN: Specialized Boys/Girls Boys Girls 18 8/15/05 3/11/10 F /8/07 10/8/07 6/30/09 6/30/09 ONTANA T RTC Shodair Children s ontana Children's Home and Hospital 2755 Colonial Drive Helena, T Phone: (406) EIN: Child 24 8/25/03 8/25/03 8/25/03 5//09 5//09 5//09 Page 10
11 Name and Address ALABAA NEVEDA NV RTC Willow Springs Willow Springs, LLC 690 Edison Way Reno, NV Phone: (775) EIN: Child F /8/1990 5/8/1990 5/8/1990 7//10 7//10 7//10 NEW EXICO N RTC esilla Valley Hospital 3571 Del Rey Boulevard Las Cruces, N 880 Phone: (800) EIN: F 11/5/04 11/5/04 5/9/11 5/9/11 NORTH CAROLINA NC PHP Healthcare Solutions Network of North Carolina 170 Old Naples Road Hendersonville, NC Phone: (828) EIN: Adult Half Day Saturday 60 8/13/09 11/11/10 NC RTC Brynn arr Brynn arr Hospital 192 Village Drive Jacksonville, NC Phone: (910) EIN: RTC RTC F 34 3/21/07 3/21/07 8/24/09 8/24/09 Page 11
12 Name and Address ALABAA NC SUDRF Wilmington Wilmington Treatment Center, Inc. 25 Troy Drive Wilmington, NC Phone: (910) EIN: Rehab/Detox Adult Sub Use Full Day Sunday /5/03 5/5/03 11/13/08 11/13/08 OHIO OH RTC Belmont Pines Belmont Pines Hospital 615 Churchill-Hubbard Road Youngstown, OH Phone: (330) EIN: RTC 56 11/2/09 11/2/09 SOUTH CAROLINA SC RTC Palmetto Palmetto Lowcountry Behavioral Health 2777 Speissegger Drive Charleston, SC Phone: (843) EIN: RTC RTC F /7/04 /4/04 2/26/10 2/26/10 SC RTC Three Rivers Residential Treatment - idlands Campus 0 Ermine Road West Columbia, SC Phone: (803) EIN: /26/06 10/15/08 Page
13 Name and Address ALABAA SC SUDRF Earle E. orris Jr. Alcohol & Drug Addiction Treatment Earl E. orris 610 Faison Drive Columbia, SC 293 Phone: (803) EIN: Adult Detox Rehabilitation Rehabilitation F 4/27/1993 4/27/1993 4/27/1993 6/3/09 6/3/09 6/3/09 Dual Diagnosis Inpatient Rehab/Detox 4/27/1993 6/3/09 TENNESSEE TN RTC Compass Intervention Center Keystone emphis, LLC 7900 Lowrance Road emphis, TN 385 Phone: (901) EIN: Child /10/03 6/10/03 8/13/09 8/13/09 TN SUDRF Bradford Health Services - Clarksville Bradford Health Service 235 A Dunbar Cave Road Clarksville, TN Phone: (931) EIN: Adult Evening Sub Use Half Day Adult Full Day Thursday Thursday 10 4/30/03 4/30/03 1/23/09 1/23/09 Adult Full Day Thursday 4/30/03 1/23/09 Evening Sub Use 1/2 Day Thurs, Sat 10 4/30/09 1/23/09 Page 13
14 Name and Address ALABAA TEXAS TX RTC Cedar Crest Hospital and RTC HTH Cedar Crest, LLC 3500 South IOH-35 Belton, TX Phone: (254) EIN: Child/ 24 7/1/08 3/31/10 TX RTC Laurel Ridge Treatment Center Texas Laurel Ridge Hospital 177 Corporate Woods Drive San Antonio, TX Phone: (800) EIN: Child 1/1/1968 1/1/1968 9/10/08 9/10/08 TX RTC eridell Achievement Center 550 West Hwy 29 Liberty Hill, TX Phone: (800) EIN: /10/ /10/ /10/1968 3/18/09 3/18/09 3/18/09 TX RTC San arcos Treatment Center 1 Bert Brown Road San arcos, TX Phone: (615) EIN: Child/ Child/ Child/ /1/1968 1/1/1968 1/1/1968 7/1/10 7/1/10 7/1/10 Page 14
15 Name and Address ALABAA TX RTC Southwest ental Health Center 8535 Tom Slick Drive San Antonio, TX Phone: (210) EIN: TX SUDRF Red River Recovery Center 2501 Taylor Street Wichita Falls, TX Phone: (940) EIN: Child/ 52 2/22/1983 /5/08 Child/ 7 days 18 2/5/07 5/17/10 TX PHP El Paso Psychiatric Assoc. PA Alternative Centre 7760 Alabama Street El Paso, TX Phone: (915) EIN: Adult/ onday /3/11 3/3/11 Page 15
16 Name and Address ALABAA TX SUDRF Camp Recovery Centers, LP Starlite Recovery Center 230 esa Verde Drive - East P.O. Box 317 Center Point, TX Phone: (830) EIN: Adult Detoxification Unit Rehabilitation Adult Substance Use Partial Hospitalization Full Day /17/11 06/17/11 06/17/11 6/17/11 06/17/11 06/17/11 Inpatient Rehabilitation 10 06/17/11 06/17/11 Substance Use PHP Full Day 6 6/17/11 6/17/11 UTAH UT RTC Center for Change 1790 North Street Orem, UT Phone: (801) EIN: UT RTC Provo Canyon School Boys 4501 North University Avenue Provo, UT Phone: (801) EIN: RTC F 24 /24/10 /24/10 RTC 72 8/11/10 8/11/10 Page
17 Name and Address ALABAA UT RTC Provo Canyon UHS of Provo Canyon, Inc East 750 North Orem, UT Phone: (801) EIN: RTC F 48 //1994 2/9/11 VIRGINIA VA PHP Virginia Beach Psychiatric Center First Hospital Corporation of Virginia Beach 1100 First Colonial Road Virginia Beach, VA Phone: (757) EIN: Adult Full Day 23 //1994 5/8/08 VA RTC Keystone Newport News, LLC Warwick Boulevard Newport News, VA Phone: (757) EIN: VA RTC Poplar West HHC Poplar Springs, Inc. 350 Poplar Drive Petersburg, VA Phone: (804) EIN: /9/10 6/9/ /24/1993 6/18/10 F 36 6/24/1993 6/18/10 Page 17
18 Name and Address ALABAA VA RTC Riverside Behavioral Health Center 2244 Executive Drive Hampton, VA Phone: (757) EIN: /8/10 1/8/10 1/8/10 1/8/10 VA RTC The Pines- Kempsville The Pines Residential Treatment Center 860 Kempsville Road Norfolk, VA Phone: (757) EIN: Child /27/00 11/27/00 /10/08 /10/08 VA RTC Life Center of Galax 1 Painter Street Galax, VA Phone: (276) EIN: Adult Detox/Rehab Adult Full Day /25/10 8/25/10 8/25/10 8/25/10 VA SUDRF Williamsburg Place Diamond Healthcare of Williamsburg Inc oorestown Road Williamsburg, VA Phone: (757) EIN: Adult Detox Rehabilitation Adult Sub Use Full Day Sunday- Saturday /13/11 1/13/11 1/13/11 1/13/11 1/13/11 1/13/11 Page 18
19 Name and Address ALABAA VA RTC Hallmark Youthcare - Richmond 800 West Creek Parkway Richmond, VA Phone: (804) EIN: WASHINGTON WA RTC Tamarack Center 2901 West Fort George Wright Drive Spokane, WA Phone: (509) EIN: Full Day 42 3/3/11 3/3/11 /22/1995 /24/10 Page 19
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