Supplemental Behavioral Health Services
Please provide an email address we can contact for any questions.
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example@example.com
About Your Organization
Name of organization
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Organization phone number
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Please enter a valid phone number.
Website
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Year founded
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Current accreditation, certification or licensure
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About Supplemental Behavioral Health Services
Description of all Supplemental Services offered
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Target population served
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Number of people served annually
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Brief description of relevant staff qualifications, licensures and certifications related to the program
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Brief description of supervisor qualifications for the program
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Number of staff working on the program
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