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DrvIsION OF YOUTH SERVICES - CBA <br /> <br />PROGRAM AGREEMENT <br />N~neofProgr~mPsychological Services to Juvenile Court <br /> <br />SponsoringAgencyPiedm°nt Area Mental Health/ County <br /> Mental Retardation & Substance Abuse Authorit~ Cabarrus <br /> <br />Contact Person (name & address) <br /> Esther M. Winters, Ph.D. <br /> <br />Cabarrus Mental Health Center <br />457 Lake Concord Road <br />concord, NC 28025 ~. ('704)78~-1130 <br /> ~one__ <br /> <br />Re~rralSources 19th Judicial District <br /> Counseling Service <br /> <br />Program Type <br /> <br />Psych. Services <br /> <br />Funding PeHod <br /> 7/1/94 thru 6/30/95 <br /> <br />CBAAssignedI.D.# <br /> <br /> 213012 <br /> <br />New l:~'o~rs'm <br />Continuation X <br /> <br />- *Client Capacity 28-32 . Anticipated average length of stay 90-120 <br /> <br /> (days). Estimated nl,mber of you.th to b~ served during funding period. 80-96 <br /> <br />Act-~! number of youth served last fiscal year: <br /> <br />7~__~__ Reported using Client Twac~{ng Fores <br /> t~ported using Annual Program Review <br /> # Juvenile Court or law enforcement referred 100 <br /> <br />Date received in Regional Office <br /> <br /> Please submit 4 conies w~th ori~nal siznatures. <br /> <br />*If the funds being requested will be used for more than one program component please provide this <br />information for each component on a separate sheet. <br /> <br />DYS (Rev. 3-93) <br /> <br /> <br />