1915i Providers. Condition 1 - Volume Volumes >= 35% REPORTING PROVIDER FACILITY NAME



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PLEASE NOTE* Providers on this list are agencies known to operate non-medicaid reimbursable Home and Community Based-like services that are similar to or identical to the HCBS, also referred to as 1915i-like, services that will be available to Health and Recovery Plan (HARP) enrollees if HARPs are approved by CMS. Most are currently recipients of funds from OMH and/or OASAS to provide these services. Some are agencies known to OASAS as providers of these services that are funded through other than State sources. All of the providers appear qualified to be designated to provide one or more HCBS services to HARP enrollees, based on their experience delivering OMH /OASAS funded similar services. Importantly, however, their appearance on this list is NOT tantamount to designation. These providers will have to apply for designation. Any provider on this list that does not apply to be an HCBS service provider and/or is not approved as an HCBS provider will be delisted as a safety net provider. 09/24/2014 All 1915I (DSRIP) Total 303 100.00% Analysis of 1915i Data for Qualified 303 100.00% Delivery System Reform Incentive Payment Plan 1915i Condition 1 - Volume Volumes >= 35% OMH 30510 163RD Street Improvement Council Yes TRUE pending approval OMH 40090 Abilities First, Inc. Yes TRUE pending approval OMH 29660 Abilities, Inc. Yes TRUE pending approval OMH 22590 ABVI-Goodwill Yes TRUE pending approval OMH 26180 ACCORD Corp Yes TRUE pending approval OMH 41490 ADDICTS REHABILITATION CENTER FOUNDATION, INC. Yes TRUE pending approval OASAS 00019 Addicts Rehabilitation Center Fund,Inc Yes TRUE pending approval OMH 10540 Adelante of Suffolk County, Inc. Yes TRUE pending approval OMH 29150 Adirondack Medical Center Yes TRUE pending approval OASAS After Hours Project Yes TRUE pending approval OASAS 15210 AIDS Center of Queens County (ACQC) Yes TRUE pending approval OASAS AIDS Service Center of NYC - Community Center in East Harlem Yes TRUE pending approval OASAS AIDS Service Center of NYC - Community Center in Washington Heights Yes TRUE pending approval OASAS AIDS Service Center of NYC - Union Square Main Program Office Yes TRUE pending approval OMH 44240 Albany County Consumer Advocacy Board for Mental Health, Inc. Yes TRUE pending approval OASAS 28130 Albert Einstein Medical Center Yes TRUE pending approval OMH 40840 Allegany County Chapter NYSARC, Inc Yes TRUE pending approval OMH 11020 American Red Cross Tompkins County Chapter Yes TRUE pending approval OASAS 31330 Amethyst House Inc. Yes TRUE pending approval OASAS 00610 Anchor House, Inc. Yes TRUE pending approval OMH 12410 Apropos Housing Opportunities and Management Enterprises Yes TRUE pending approval OMH 26850 Baltic Street AEH, INC. Yes TRUE pending approval OASAS 12050 Behavioral Health Services North Inc. Yes TRUE pending approval OMH 17030 Berkshire Farm Center and Services for Youth, Inc Yes TRUE pending approval OASAS 83040 Beth Israel Medical Center- Project SHARE Yes TRUE pending approval OMH 41800 Bethesda House of Schenectady, Inc Yes TRUE pending approval OMH 17690 Black Veterans for Social Justice, Inc. Yes TRUE pending approval OASAS 00032 Bridge Center of Schenectady Inc Yes TRUE pending approval OASAS 31640 Bridging Access to CARE Yes TRUE pending approval OMH 29370 Bronx Provider Consumer Alliance Resource Center Inc Yes TRUE pending approval OASAS BronxWorks Yes TRUE pending approval OMH 41530 BRONXWORKS, INC. Yes TRUE pending approval OASAS 45250 Brownsville Comm Develop.Corp., Inc. Yes TRUE pending approval OMH 26110 Burnt Hills-Ballston Lake Community Human Services Yes TRUE pending approval OMH 31600 CAMBA, Inc Yes TRUE pending approval OMH 12030 Camelot of Staten Island, Inc Yes TRUE pending approval OMH 46320 Camp Get-A-Way Yes TRUE pending approval OMH 40790 Capabilities Inc. Yes TRUE pending approval OMH 11620 CAPITAL AREA PEER SERVICES INC Yes TRUE pending approval 1

OMH 23050 CAREERS for People with Disabilities, Inc. Yes TRUE pending approval OASAS 20560 Catholic Char Diocese of Syracuse Yes TRUE pending approval OMH 27460 Catholic Charities of Livingston County Yes TRUE pending approval OMH 40820 CATHOLIC CHARITIES OF ONONDAGA CTY Yes TRUE pending approval OMH 12560 Catholic Charities of Oswego County Yes TRUE pending approval OASAS 44050 Catholic Charities of Steuben Yes TRUE pending approval OMH 44050 Catholic Charities of Steuben County Yes TRUE pending approval OMH 12390 Catholic Charities of the Diocese of Ogdensburg Yes TRUE pending approval OMH 43040 Catholic Charities of Tompkins & Tioga Yes TRUE pending approval OASAS 50760 Catholic Charities Dioc of Syracuse Yes TRUE pending approval OMH 48110 Catskill Center For Independence Yes TRUE pending approval OMH 38170 Cazenovia Recovery Systems, Inc. Yes TRUE pending approval OASAS 38170 Cazenovia Recovery Systems, Inc. Yes TRUE pending approval OASAS 37300 CC Rochester-Kinship Family Youth Srvs Yes TRUE pending approval OMH 47850 Cecil HDFC Yes TRUE pending approval OASAS Center for Alternative Sentencing &Employment Services Yes TRUE pending approval OMH 26310 CENTER FOR BEHAVIORAL HEALTH SERVICES Yes TRUE pending approval OMH 29730 Center for Career Freedom Yes TRUE pending approval OASAS 01236 Center for Community Alternatives Yes TRUE pending approval OASAS Center for Employment Opportunities Yes TRUE pending approval OMH 47800 Center for Family Life and Recovery, Inc. Yes TRUE pending approval OMH 40000 Challenge Industries, Inc. Yes TRUE pending approval OMH 17410 Chautauqua Opportunities, Inc Yes TRUE pending approval OMH 70190 Chemung County Dept of Mental Hygiene Yes TRUE pending approval OMH 20340 CHILD CARE RESOURCES OF ROCKLAND, INC Yes TRUE pending approval OMH 10460 Children's Institute Inc. Yes TRUE pending approval OMH 42480 Childrens Mental Health Coalition Yes TRUE pending approval OMH 13030 Circulo de la Hispanidad Yes TRUE pending approval OASAS Citiwide Harm Reduction Yes TRUE pending approval OMH 44530 COLUMBA SERVICES, INC Yes TRUE pending approval OMH 26490 Common Ground Community HDFC Yes TRUE pending approval OMH 20720 COMMUNITY ACTION FOR HUMAN SERVICES, INC. Yes TRUE pending approval OMH 24100 Community Aid for Retarded Children Yes TRUE pending approval OMH 47190 Community Connections of NY, Inc. Yes TRUE pending approval OASAS 42000 Community Health Action of Staten Island Yes TRUE pending approval OMH 42100 Community Maternity Services Yes TRUE pending approval OMH 40110 Community, Work and Independence, Inc. Yes TRUE pending approval OMH 40900 Compeer Inc Yes TRUE pending approval OMH 46040 Compeer Rochester, Inc. Yes TRUE pending approval OMH 25260 COMPEER WEST, INC Yes TRUE pending approval OMH 42090 Consumers Connection Yes TRUE pending approval OMH 12480 Contact Community Services, Inc. Yes TRUE pending approval OASAS Correctional Association of New York Yes TRUE pending approval OMH 35350 Counseling Care and Services, Inc Yes TRUE pending approval OMH 10980 COVENANT HOUSE/UNDER 21 Yes TRUE pending approval OASAS 01024 Damon House New York, Inc. Yes TRUE pending approval OASAS EAC Network Yes TRUE pending approval OASAS 50410 East House Corporation Yes TRUE pending approval OASAS Education and Assistance Corporation Yes TRUE pending approval OMH 38180 EPIC - Every Person Influences Children, Inc. Yes TRUE pending approval OMH 70290 ERIE COUNTY DEPT OF MENTAL HEALTH Yes TRUE pending approval OMH 47920 ETC Housing Corporation Yes TRUE pending approval OASAS 02015 Exponents, Inc Yes TRUE pending approval OASAS 02015 Exponents, Inc. Yes TRUE pending approval OMH 36020 Fairview Recovery Services Yes TRUE pending approval OASAS 36020 Fairview Recovery Services, Inc. Yes TRUE pending approval OMH 47170 FAMILIES ON THE MOVE OF NYC INC. Yes TRUE pending approval OMH 26330 FAMILY & CHILDREN'S SVS OF CAPITAL REGION Yes TRUE pending approval OMH 23960 FAMILY EMPOWERMENT COUNCIL Yes TRUE pending approval OMH 24520 Family Help Center Yes TRUE pending approval 2

OMH 15040 Family of Woodstock, Inc. Yes TRUE pending approval OMH 24630 Family Resource Network, Inc Yes TRUE pending approval OMH 25700 Family Service of the Chaurtauqua Region Yes TRUE pending approval OMH 43530 Family Ties of Westchester Inc Yes TRUE pending approval OASAS 38030 Fellowship House, Inc. Yes TRUE pending approval OMH 26470 Finger Lakes Parent Network Yes TRUE pending approval OASAS 01523 Fortune Society Inc Yes TRUE pending approval OMH 14870 Friends and Advocates for Mental Health Yes TRUE pending approval OMH 18970 Friends of Mental Health of Orleans County Yes TRUE pending approval OASAS 12190 Fulton Friendship House Inc. Yes TRUE pending approval OASAS Gay Men s Health Crisis (GMHC) Yes TRUE pending approval OMH 16870 General Dev. & Orient. Council, Inc Yes TRUE pending approval OMH 18550 Genesee County Mental Health Assoc. Yes TRUE pending approval OMH 42840 Good Shepherd Services Yes TRUE pending approval OMH 14430 Grace Church Community Center, Inc Yes TRUE pending approval OMH 41620 Guardians of the Sick Yes TRUE pending approval OMH 19200 H.O.M.E.E. Clinic inc. Yes TRUE pending approval OASAS 34020 Halfway Houses of Westchester Inc. Yes TRUE pending approval OMH 70090 Hamilton County Community Services Yes TRUE pending approval OASAS 85130 Harlem Hospital Center Yes TRUE pending approval OASAS Harlem United Yes TRUE pending approval OMH 43030 Healthy Community Alliance Yes TRUE pending approval OMH 42860 Heights Hill Mental Health Service Yes TRUE pending approval OASAS 48140 HELP/PSI - Brooklyn Yes TRUE pending approval OASAS 48140 HELP/PSI - Queens Yes TRUE pending approval OASAS 48140 HELP/PSI- Bronx Yes TRUE pending approval OASAS 85130 HHC Queens Hospital Center Yes TRUE pending approval OMH 17630 Homeless & Travelers Aid Society Yes TRUE pending approval OASAS 24440 Homer Perkins Center, Inc. Yes TRUE pending approval OMH 34210 HONORehg, Inc. Yes TRUE pending approval OMH 11130 HORIZON HEALTH SERVICES, INC. Yes TRUE pending approval OASAS 00170 Hospitality House Therapeutic Comm Inc Yes TRUE pending approval OMH 11140 Housing Options Made Easy, Inc. Yes TRUE pending approval OASAS 45980 Housing Works, Inc. Yes TRUE pending approval OASAS 45980 Housing Works-East New York Community Health Center Yes TRUE pending approval OMH 24220 Hudson River Housing, Inc. Yes TRUE pending approval OMH 21240 Huntington Family Centers, Inc Yes TRUE pending approval OMH 21250 Ibero-American Action League, Inc. Yes TRUE pending approval OMH 16650 Independent Living, Inc. Yes TRUE pending approval OASAS Iris House Inc Yes TRUE pending approval OMH 40010 J M MURRAY Yes TRUE pending approval OMH 70380 Jefferson County Community Services Yes TRUE pending approval OMH 40420 Jefferson Rehabilitation Center Yes TRUE pending approval OMH 44520 Jericho Project Yes TRUE pending approval OMH 13640 Joseph's House and Shelter Yes TRUE pending approval OMH 50300 Lake Shore Behavioral Health Yes TRUE pending approval OMH 46230 Lantern Community Services, Inc Yes TRUE pending approval OMH 19020 Lenox Hill Neighborhood House Yes TRUE pending approval OMH 31450 Lesbian & Gay Community Services Center, Inc. Yes TRUE pending approval OMH 40100 Liberty House Foundation Inc Yes TRUE pending approval OASAS 50660 Liberty Resources, Inc. Yes TRUE pending approval OMH 40730 LIVINGSTON-WYOMING ARC Yes TRUE pending approval OMH 48070 LivingWorks Education Yes TRUE pending approval OMH 21740 Long Island Advocacy Center Yes TRUE pending approval OMH 41470 Long Island Families Together, Inc. Yes TRUE pending approval OASAS Lower East Side Harm Reduction Center Yes TRUE pending approval OMH 21430 Lutheran Social Services Yes TRUE pending approval OMH 40520 Madison Cortland Chapter NYSARC Inc. Yes TRUE pending approval OMH 12010 Mental Health Assn of ST, Inc Yes TRUE pending approval OMH 10900 MENTAL HEALTH ASSOC. Yes TRUE pending approval 3

OMH 16160 Mental Health Assoc. in Suffolk Co. Yes TRUE pending approval OMH 40050 MENTAL HEALTH ASSOCIATION Yes TRUE pending approval OMH 10300 Mental Health Association in Cattaraugus County, Inc. Yes TRUE pending approval OMH 10590 Mental Health Association in Jefferson County, Inc. Yes TRUE pending approval OMH 10050 Mental Health Association in Niagara County, Inc. Yes TRUE pending approval OMH 25710 Mental Health Association in Putnam County, Inc. Yes TRUE pending approval OMH 26480 Mental Health Association of Clinton and Franklin Counties Yes TRUE pending approval OMH 10550 MENTAL HEALTH ASSOCIATION OF ERIE COUNTY, INC. Yes TRUE pending approval OMH 19080 Mental Health Association of NYC Yes TRUE pending approval OMH 12120 Mental Health Association of Oswego County, Inc. Yes TRUE pending approval OMH 17090 Mental Health Association of Rochester Yes TRUE pending approval OMH 11630 Mental Health Association on New York State, Inc. Yes TRUE pending approval OMH 27100 Mental Health Empowerment Project Yes TRUE pending approval OMH 18900 MFY Legal Services, Inc. Yes TRUE pending approval OASAS 24020 MHA in Fulton and Montgomery Counties Yes TRUE pending approval OMH 29550 MHA OF CORTLAND COUNTY Yes TRUE pending approval OASAS 34010 Mid-Hudson Addiction Recovery Centers Yes TRUE pending approval OMH 21550 Monroe County Department of Human Serivces Yes TRUE pending approval OMH 70110 Montgomery County Community Services Yes TRUE pending approval OASAS 12060 Montgomery Transitional Services, Inc. Yes TRUE pending approval OMH 25370 MTI Residential Svcs., Inc. Yes TRUE pending approval OMH 14640 Multi-County Community Development Corp. Yes TRUE pending approval OASAS 33080 NADAP Yes TRUE pending approval OMH 19580 NAMI HARLEM, INC Yes TRUE pending approval OMH 29830 NAMI OF MONTGOMERY FULTON & HAMILTON COUNTIES INC Yes TRUE pending approval OMH 12420 NAMI of Westchester Inc Yes TRUE pending approval OMH 18860 NAMI QUEENS/NASSAU Yes TRUE pending approval OMH 43070 NAMI-FAMILYA of Rockland County, Inc. Yes TRUE pending approval OMH 12660 NAMI-NYS Yes TRUE pending approval OMH 12440 NAMI-PROMISE Yes TRUE pending approval OMH 40150 Nassau County Dept of Mental Health, CD and DDDS Yes TRUE pending approval OMH 43270 National Alliance on Mental Illness of Champlain Valley Yes TRUE pending approval OMH 47960 National Council for Community Behavioral Healthcare Yes TRUE pending approval OMH 25270 Neighborhood Care Team, Inc. Yes TRUE pending approval OMH 19920 Neighborhood Coalition for Shelter, Inc. Yes TRUE pending approval OMH 17610 NEW ERA VETERANS, INC Yes TRUE pending approval OASAS 00219 New Hope Manor, Inc. Yes TRUE pending approval OMH 27050 New York Center For Child Development Yes TRUE pending approval OASAS 35080 Next Step <The> Yes TRUE pending approval OASAS 36160 North Country Freedom Homes Inc. Yes TRUE pending approval OMH 13890 Northern Regional Center for Independent Living Yes TRUE pending approval OASAS 28720 NYS Office of Children Family Services Yes TRUE pending approval OMH 40630 NYSARC Herkimer County Chapter Inc. Yes TRUE pending approval OMH 40130 NYSARC INC SULLIVAN Yes TRUE pending approval OMH 40030 NYSARC Montgomery Yes TRUE pending approval OMH 40430 NYSARC, INC CATT. CO. CHAPTER Yes TRUE pending approval OMH 24030 NYSARC, Inc. Dutchess County Chapter Yes TRUE pending approval OMH 24270 NYSARC, Inc. Saratoga County Chapter Yes TRUE pending approval OMH 28310 NYSARC, Inc., NYC Chapter Yes TRUE pending approval OASAS 19400 Odyssey House Yes TRUE pending approval OMH 19400 Odyssey House, Inc. Yes TRUE pending approval OMH 70210 ONEIDA COUNTY DMH Yes TRUE pending approval OMH 40550 Oneida-Lewis Chapter, NYSARC Yes TRUE pending approval OMH 40530 ONTARIO ARC Yes TRUE pending approval OASAS 34360 Open Arms, Incorporated Yes TRUE pending approval OASAS Osborne Association Yes TRUE pending approval OMH 70320 Oswego County Mental Health Yes TRUE pending approval OASAS 40660 Oswego County Opportunities Inc. Yes TRUE pending approval OMH 21790 OSWEGO INDUSTRIES, INC Yes TRUE pending approval OMH 39050 PALLADIA INC Yes TRUE pending approval 4

OMH 47090 PEACE Family Support Group, Inc. Yes TRUE pending approval OMH 15820 PEOPLe, Inc. Yes TRUE pending approval OASAS 00238 Phase: Piggy Back, Inc Yes TRUE pending approval OMH 44560 Phipps Community Development Corp Yes TRUE pending approval OASAS 16820 Phoenix Houses of New York Yes TRUE pending approval OMH 47320 Prevent Child Abuse New York, Inc. Yes TRUE pending approval OASAS Project Greenhope Services for Women Yes TRUE pending approval OASAS 19900 Project Hospitality Yes TRUE pending approval OMH 19900 PROJECT HOSPITALITY,INC Yes TRUE pending approval OASAS Providence Housing Development Corporation - Providence House Yes TRUE pending approval OMH 40250 PUTNAM COUNTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OASAS 31340 Queens Village Committee for MH J-CAP Yes TRUE pending approval OMH 50520 Reachout of St. Lawrence County, Inc. Yes TRUE pending approval OASAS Recovery Network of New York Yes TRUE pending approval OASAS 14370 Rehabilitation Support Services, Inc. Yes TRUE pending approval OASAS 48530 Renaissance Addiction Services Inc. Yes TRUE pending approval OMH 36080 Rescue Mission Alliance of Syracuse NY Yes TRUE pending approval OMH 36280 Rescue Mission of Utica Yes TRUE pending approval OMH 10150 Restoration Society, Inc. Yes TRUE pending approval OMH 70460 Rockland County Department of Mental Health Yes TRUE pending approval OASAS Ryan-NENA Community Health Center Yes TRUE pending approval OASAS 47650 Safe Harbor Retreat Yes TRUE pending approval OASAS 37020 Salvation Army - Elmira Citadel Yes TRUE pending approval OMH 44140 Saratoga Center For The Family Yes TRUE pending approval OMH 24320 Schenectady County Chpter NYSARC, Inc. Yes TRUE pending approval OMH 24370 Schoharie County Chapter NYSARC, Inc. Yes TRUE pending approval OMH 45170 Schoharie County Community ActionProgram, Inc Yes TRUE pending approval OMH 20060 SCHUYLER COUNTY CHAPTER,NYSARC,INC Yes TRUE pending approval OASAS 22270 SCO Family of Services Yes TRUE pending approval OMH 15470 SKY LIGHT CENTER INC. Yes TRUE pending approval OASAS South Shore Association for Independent Living Yes TRUE pending approval OMH 14350 St Anne Institute Yes TRUE pending approval OMH 12970 ST JOHN'S COMMUNITY HDFC Yes TRUE pending approval OASAS St. Ann's Corner of Harm Reduction Yes TRUE pending approval OMH 40540 ST. LAWRENCE NYSARC Yes TRUE pending approval OASAS 87130 St. Vincents Catholic Medical Centers Yes TRUE pending approval OMH 27470 STEP by STEP INC Yes TRUE pending approval OMH 20320 STEUBEN CTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OMH 10230 Suicide Prevention & Crisis Services Yes TRUE pending approval OMH 12110 Suicide Prevention and Crisis Service of Tompkins County Yes TRUE pending approval OMH 24880 Taconic Resources for Independence, Inc. Yes TRUE pending approval OASAS 01549 TASC of the Capital District Yes TRUE pending approval OASAS 31450 The Center Yes TRUE pending approval OMH 31190 The Door - A Center of Alternatives Yes TRUE pending approval OASAS 01523 The Fortune Society Yes TRUE pending approval OMH 23770 The Rehabilitation Institute, Inc. Yes TRUE pending approval OMH 12470 The Salvation Army Yes TRUE pending approval OMH 19610 The Samaritans of New York Yes TRUE pending approval OMH 18640 The Young Mens Christian Association of the Capital District Yes TRUE pending approval OASAS 83160 TLC Health Network Yes TRUE pending approval OASAS 50590 Transitional Services Association, Inc Yes TRUE pending approval OMH 47620 Turnaround for Children, Inc. Yes TRUE pending approval OASAS 01525 Turning Point Yes TRUE pending approval OMH 25170 UB FAMILY MEDICINE, INC. Yes TRUE pending approval OMH 40060 UCPA - Niagara County, Inc. Yes TRUE pending approval OMH 16630 Unique People Services, Inc Yes TRUE pending approval OASAS 00330 United Bronx Parents, Inc (including Casita Esperanza) Yes TRUE pending approval OASAS 23570 Unity House of Cayuga County Inc. Yes TRUE pending approval OMH 40620 UNLIMITED POSSIBILITIES Yes TRUE pending approval OMH 19620 Venture House, Inc. Yes TRUE pending approval 5

OMH 19850 Visiting Nurse Service of New York-CARE Yes TRUE pending approval OMH 325 Vocational Instruction Project Community Services Yes TRUE pending approval OASAS Voices of Community Activists & Leaders (VOCAL-NY), Inc. Yes TRUE pending approval OASAS 22790 Volunteers of America - GNY, Inc. Yes TRUE pending approval OMH 70220 Warren County Community Services Administration Yes TRUE pending approval OMH 70230 Washington County Community Services Administration Yes TRUE pending approval OASAS Washington Heights Corner Project Yes TRUE pending approval OMH 20230 WAYNE ARC Yes TRUE pending approval OMH 29290 Wayne County Action Program, Inc Yes TRUE pending approval OMH 47670 West End Residences HDFC Yes TRUE pending approval OMH 24540 West Side Community Services Yes TRUE pending approval OMH 18330 WEST SIDE FEDERATION FOR SENIOR AND SUPPORTIVE HOUSING INC. Yes TRUE pending approval OMH 29600 Westchester Consumer Empowerment Center. Yes TRUE pending approval OMH 17560 WESTCHESTER INDEPENDENT LIVING CTR Yes TRUE pending approval OMH 14710 Westchester Residential Opportunities, Inc. Yes TRUE pending approval OMH 15620 Western New York Independent Living, Inc. Yes TRUE pending approval OMH 14790 Westhab Inc. Yes TRUE pending approval OASAS William F. Ryan Community Health Center, Inc. Yes TRUE pending approval OASAS Women s Prison Association Yes TRUE pending approval OMH 70420 Wyoming Co Mental Health Department Yes TRUE pending approval OMH 70390 Yates Community Services Yes TRUE pending approval OMH 20220 YATES COUNTY CHAPTER, NYSARC, INC. Yes TRUE pending approval OMH 28180 Young Adult Institute, Inc. Yes TRUE pending approval OMH 23230 YWCA of the Greater Capital Region, Inc. Yes TRUE pending approval 6