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New Program: [] Request For Continuation: [] <br /> <br />DEPARTMENT OF JUVENILE JUSTICE AND DELINQUENCY PREVENTION <br />INTERVENTION/PREVENTION DIVISION <br />2002-2003 <br /> PROGRAM AGREEMENT <br /> <br />County: Cabarrus Area: PiedmOnt <br /> Multi-components: Yes [] No [] <br /> <br /> Psychological & Substance Abuse Eval <br />Name of Program: Svcs <br /> <br />PROGRAM COMPONENTS <br /> DJJDP <br />COMPONENT ID# NAME OF COMPONENT <br /> <br />313012 Psychological Eval Svcs <br /> Substance Abuse Eval Svcs <br /> <br />DJJDP Program Funding #: 313012 <br /> Funding Period: 7/1/02-6/30/03 <br /> <br />PROGRAM TYPE <br /> <br />Psychological Services <br /> <br />TOTAL COST OF <br />EACH COMPONENT <br /> <br /> $78,750 <br /> $78,75O <br /> <br />Sponso. r~i.ng Agency: <br /> <br />TOTAL COST OF COMPONENTS <br /> <br />Please check type: Publi~ [] <br /> Non-Profit [] Federal ID# <br />Program Manager name & address (same person on signature page) <br /> <br />Name: Vincent L. Pastore, Ph.D. <br />Address: 1305 S. Cannon Blvd <br />Phone: (704) 939-1100 <br />Email address: vpastore(~pamh.com <br /> <br />Contact Person (if different from program manager) <br /> <br />Name: Rick Helms <br />Address: 77 Union Street <br /> <br />Title: C&Y Coordinator <br /> <br />City: Kannapolis NC <br /> <br /> Fax: (704) 939-1120 <br /> <br />Zip: 28083 <br /> <br />Title: Psychologist <br /> <br />City: Concord <br /> <br />NC Zip: 28025 <br /> <br />Phone: (704) 792-1993 <br />Email'address: rhelms@pamh.com . <br /> <br />Fax: ( ) <br /> <br />Program Fiscal Officer (should not be program managed <br /> <br />Name: Ann Wilson Title: <br />Address: 257 LePhillipe Court City: <br /> <br />CFC <br /> <br />Concord <br /> <br />NC Zip: 28021 <br /> <br />Phone: (704) 721-7000 <br /> <br />Submit 4 copies with original signatures. <br /> <br />JCPC PROGRAM AGREEMENT, MAY 2001 <br /> <br />Fax: (704) 721-7010 <br /> <br /> DJJDP USE ONLY: <br />Date received in Area Office I <br /> <br /> <br />