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Northeast Psychiatric &Psychological Institute <br />ATTACHMENT B -Scope of Work Federal Tax Id. 56-6000156 <br />Contract # <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Northeast Psychiatric Services <br />2. If d~erent from Contract Administrator Information in General Contract: <br />Telephone Number: 704-783-3000 Fax Number: <br />Email: flowder@northeastmedical.org <br />Name of Program (s): Northeast Psychiatric Services <br />4. Status: (X) Public ()Private, Not for Profit ()Private, For Profit <br />5. Contractor's Financial Reporting Year: July 1, 2007 through June 30, 2008 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): <br />Northeast Psychiatric Services will provide psychological and substance abuse <br />evaluations, individual and group therapy, psychiatric evaluations and medication <br />management, and IOP for individuals and families. <br />The Contractor Agrees: <br />• To provide the above mentioned services to clients referred by Cabarrus County <br />Department of Social Services. <br />• To bill Cabatxus County Department of Social Services no later than the So' <br />working day of the month following provision of service. <br />• To ensure that necessary releases of information have been secured for the <br />transfer of information to occur. <br />• To provide written and phone updates upon request, at a minimum monthly for <br />ongoing services. Evaluation results will be forwarded within 30 days of the <br />completion of the evaluation. <br />• To comply with the terms of the Americans with Disabilities Act and all <br />requirements imposed by or pursuant to the regulations. issued pursuant to that <br />Section, which prohibit discrimination against handicapped persons in <br />employment and in the operation of programs and activities receiving Federal <br />Funds. <br />• To comply with Title VI and VII of the Civil Rights Act of 1964 and all <br />requirements imposed by or pursuant to the regulations issued pursuant to that <br />Title. <br />• This agreement maybe amended or terminated upon mutual agreement of both <br />parities; or ternnated by either party upon thirty (30) days prior notice in <br />writing to the other party, except that violation of State law or of established <br />standards concerning provision of the services may result in termination of the <br />agreement without (30) days prior notice. <br />Contract-Scope of Work (06/04) ~~' ~~ Page lof 3 <br />