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Name of p~ogram p~vcholo~c_al Services to Juwenile Courts / Relapse Prevention Services <br /> Sponsoring AgencM Piedmont Area Fa~f~/SA Services I County <br /> ii Cabarrus <br /> Contact Person (name & address) Program Type <br /> Psyc~iolog~cal Services & <br /> ~ichael R. McIntyre, Director Clinical Services <br /> <br /> 457 Lake Concord Road Funding Period <br /> Concord, NC 28025 Phone 704-788-1130 7/liP0 thru 6/30]91 <br /> <br /> C~A Assigned I.D. <br /> Referral Sources 19th Judicial District 213012 <br /> Cm,,n¢~ng SErvices and Cabarros- Cou6ty Schools New Program.__ <br /> Continuation <br /> <br /> * Client Capacit'! . Anticipaeed average lenqth of stay . <br /> <br /> (days). Estimated number of youth ~o be served during fundiog period <br /> <br /> Date received in regional office <br /> Date received ~n centrai office <br /> Data of CgA Approval <br /> <br />'If the funds being requested w~l] be used for more than one program componea~ <br />please provide this info.marion for each component oo s separate sheet. <br /> <br />DYS (Rev. 1-8'., i 25~ <br /> <br /> <br />