Table 1: Portfolio of Providers (Appendix A)PROVIDERPROGRAM NAME(PREVENTION PROGRAMS SHADED GRAY)PROGRAM LOCATION(S)AOD C&AAOD ADULTAOD FAMILYAOD CJMH SMDMH SEDMH GAMH ELDERSMH C&AMH CJTOTAL ANNUAL PROGRAM COST (ANY & ALL FUNDING SOURCES)ANNUAL ADAMH & MEDICAID FUNDING FOR PROGRAMDIRECT SERVICE FTES FUNDED BY ADAMH & MEDICAIDUNIVERSAL (U)SELECTED (S)INDICATED (I)UPIAFRICENTRIC PERSONAL DEVELOPMENT SHOPAFRICENTRIC THERAPEUTIC PROCESS1409 E. LIVINGSTON AVENUExxx308,144301,8864.00I2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPAFRICENTRIC THERAPEUTIC PROCESSIMHOTEP LEARNING INSTITUTE AFTER SCHOOLxx128,168106,6762.00S2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPIMHOTEP LEARNING INSTITUTE AFTER SCHOOLIMHOTEP LEARNING INSTITUTE SUMMER CAMPxx140,985118,6482.00S2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPIMHOTEP LEARNING INSTITUTE SUMMER CAMPIMHOTEP LEARNING INSTITUTE PERSONAL DEV. Ixx8,5457,6970.11S2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPIMHOTEP LEARNING INSTITUTE PERSONAL DEV. IIMHOTEP LEARNING INSTITUTE PERSONAL DEV. IIxx29,90626,0800.39S2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPIMHOTEP LEARNING INSTITUTE PERSONAL DEV. IIANGER MANAGEMENTxxx64,08355,9610.85I2915AFRICENTRIC PERSONAL DEVELOPMENT SHOPANGER MANAGEMENTAFRICENTRICITY FREEDOM FROM ABUSIVE RELATIONSHIPSxxx55,53949,4550.73I2915AMETHYSTAMETHYST LONG-TERM TREATMENT AND PERMANENT SUPPORTIVE HOUSING527 SOUTH HIGH STREET; 524 SOUTH WALL STREET, COLUMBUS, OHIO 43215xxx2,326,2542,326,25419.89I1849AMETHYSTAMETHYST NON-RESIDENTIAL OUTPATIENT PROGRAM527 SOUTH HIGH STREET; 524 SOUTH WALL STREET, COLUMBUS, OHIO 43215xxx117,88366,0141.28I1849BUCKEYE RANCHAOD COMMUNITY BASED COUNSELING697 EAST BROAD STREET, GROVE CITY (MAIN CAMPUS)xxxxxxxx28,28625,0790.24I3153CHABAD HOUSEFRIENDSHIP CIRCLE YOUTH MENTORING6220 E. DUBLIN-GRANVILLE RD.x155,03354,900SCHABAD HOUSEFRIENDSHIP CIRCLE FAMILY OUTREACH6220 E. DUBLIN-GRANVILLE RD.xxx$47,90047,900SCOLUMBUS AREARECOVERY1515 EAST BROAD STREETxxxxxx999,655999,6559.45I3188COLUMBUS AREABELL AFRICENTRIC THERAPEUTIC COMMUNITY CENTER (ATC)813 BRYDEN RD.xxx590,281590,2815.80I3188COLUMBUS AREABELL IPP RE-ENTRY PROGRAM100,900100,9000.58I3188COLUMBUS AREABELL ALUMNI/ WINNER'S CIRCLE70,00070,0000.80I3188COLUMBUS AREAMECCA YOUTH AND PREVENTION SERVICES813 BRYDEN (CARRIAGE HOUSE REAR BLDG.)xxxx370,015370,0152.90S3188COLUMBUS AREASOMALI OUTREACH813 BRYDEN (CARRIAGE HOUSE REAR BLDG.)xxxx49,37149,3710.84S3188COLUMBUS PUBLIC HEALTHOUTPATIENT TREATMENT PROGRAM240 PARSONS AVENUE, COLUMBUS, OH 43215xxx1,305,718731,02111.00I1175COLUMBUS PUBLIC HEALTHHIV EARLY INTERVENTION PROGRAM240 PARSONS AVENUE, COLUMBUS, OH 43215xx316,249316,2493.00S1175COLUMBUS PUBLIC HEALTHYES PREVENTION PROGRAM240 PARSONS AVENUE, COLUMBUS, OH 43215x191,498191,4982.50U1175COLUMBUS PUBLIC HEALTHLEADERSHIP RESILIENCY PROGRAM240 PARSONS AVENUE, COLUMBUS, OH 43215x57,52057,5200.50U1175COLUMBUS PUBLIC HEALTHSUBSTANCE ABUSE GENERAL ED. (SAGE)30,73330,7330.30S1175COLUMBUS URBAN LEAGUEPROJECT SURVIVALBERRY MIDDLE SCHOOLxxxS3201COLUMBUS URBAN LEAGUEPROJECT SURVIVALCOLUMBUS URBAN LEAGUExxxS3201COLUMBUS URBAN LEAGUEPROJECT SURVIVALCHAMPION MSxxxS3201COMMUNITY FOR NEW DIRECTIONS6750COMPDRUGMEDICALLY ASSISTED TREATMENT547 E. 11TH AVENUE, COLUMBUS, OH 43211xx2,786,4712,757,95818.13 FTESI1802COMPDRUGOUTPATIENT COUNSELING547 E. 11TH AVENUE, COLUMBUS, OH 43211xx1,134,3591,105,28511.663 FTESI1802COMPDRUGWOMEN IN TRANSITION547 E. 11TH AVENUE, COLUMBUS, OH 43211xx153,299153,2991.289FTESI1802COMPDRUGYOUTH TO YOUTH547 E. 11TH AVENUE, COLUMBUS, OH 43211xxx876,292845,1079.053 FTESU1802COMPDRUGBASA547 E. 11TH AVENUE, COLUMBUS, OH 43211x92,06092,060.906 FTESS1802COMPDRUGSENIOR SENSE547 E. 11TH AVENUE, COLUMBUS, OH 43211x28,58028,580.39 FTESS1802COMPDRUGHIV EARLY INTERVENTION547 E. 11TH AVENUE, COLUMBUS, OH 43211x128,915128,9151.019 FTESS1802CONCORDALCOHOL AND DRUG SERVICES774 PARK MEADOW RD. WESTERVILLE, OHIOxxxx129,83868,6811.47I1161DFYFSHORT STOP YOUTH CENTER JUST SAY ART (PREVENTION)1066 NORTH HIGH STREET, COLUMBUS, OH 43201121,514121,5142.11S1880DFYFLIFESKILLS NORTHSIDE GRANT (PREVENTION)1066 NORTH HIGH STREET, COLUMBUS, OH 4320159,50059,5001.75S1880DUBLIN COUNSELINGOUTPATIENT AOD ALL AGES299 CRAMER CREEK COURTxxxx34,05020,7570.10I1167DUBLIN COUNSELINGOUTPATIENT AOD DIP PROGRAM299 CRAMER CREEK COURTxxx204,86900.00I1167EDUCATIONAL COUNCILWINNERS' CHOICE CAMPGREENWOOD LAKE CAMP - DELAWARE OHIOx60,05060,0500.00S10429HOUSE OF HOPEADULT RESIDENTIAL606,121258,2032.00I1184HOUSE OF HOPEOUTPATIENT SERVICES425,613418,8825.00I1881HOUSE OF HOPEOUTPATIENT SERVICES56,20954,9340.70I1881HOUSE OF HOPESTEVENS HOUSE526,280441,0804.40I1967HOUSE OF HOPESTEVENS HOUSE ROOM AND BOARD266,250188,7144.00I1967MARYHAVENDETOXIFICATION PROGRAM1791 ALUM CREEK DRIVE, COLUMBUS, OHIOxxx2,024,8021,417,35615.77I1183MARYHAVENOPIATE TREATMENT PROGRAM1791 ALUM CREEK DRIVE, COLUMBUS, OHIOxxx409,955298,2392.65I1183MARYHAVENOUTPATIENT COUNSELING PROGRAM226 N. 5TH ST., COLUMBUS, OHIOxxxxxxxxxx2,238,3601,074,58223.50I1183MARYHAVENADULT RESIDENTIAL TREATMENT PROGRAM1791 ALUM CREEK DRIVE, COLUMBUS, OHIOxxxxxxx1,579,4361,390,71717.40I1183MARYHAVENWOMEN'S RESIDENTIAL TREATMENT PROGRAM100 NOE-BIXBY RD., COLUMBUS, OHIOxxxxxxx1,364,338649,39814.43I1183MARYHAVENENGAGEMENT CENTER1775 ALUM CREEK DRIVE, COLUMBUS, OHIOxxxxxxx1,123,301932,64213.71I1183MARYHAVENADOLESCENT RESIDENTIAL TREATMENT PROGRAM1791 ALUM CREEK DRIVE, COLUMBUS, OHIOxxxx4,553,7192,683,73558.34I1183MARYHAVENOLDER ADULT TREATMENT AT ST. PAUL WELLNESS CENTERLONG STREET, COLUMBUS, OHIOx154,696100,0001.80I1183NAICCOCREATIVE CIRCLE67 E. INNIS AVE. COLUMBUS, 43207xxx45,37328,6911.00S10430NAICCOTALKING CIRCLE67 E. INNIS AVE. COLUMBUS, 43207xxx17,01410,7590.00S10430NAICCOWHITE BISON67 E. INNIS AVE. COLUMBUS, 43207xxx21,88413,8380.00S10430NAICCOSWEAT LODGE3543 BROWNSVILLE RD. 43056xxxx31,59819,9821.00S10430NEIGHBORHOOD HOUSEALCOHOL AND DRUG OUTPATIENT COUNSELING PROGRAM1000 ATCHESON STREET COLS, OHIO 43203xxx395,178395,1787.00I1563NETCAREASSESSMENT ( COURT BASED)369 S HIGH, 399 S FRONTxxxxxxxxxx385,000385,0008.00I2589NORTH CENTRAL MHADULT AOD (ALCOHOL AND OTHER DRUG)40 SPRUCE STREET, COLUMBUS, OHIO 43215xxx70,92670,9260.78S1197NORTH CENTRAL MH338 GRANVILLE STREET, COLUMBUS, OHIO 43230xxS1197NORTH CENTRAL MH6435 EAST BROAD STREET, COLUMBUS, OHIO 43213xxxS1197NORTH CENTRAL MH1301 NORTH HIGH STREET, COLUMBUS, OHIO 43201xxxS1197NORTH CENTRAL MHTRAC COMMUNITY TREATMENT TEAM RFR1301 NORTH HIGH STREET, COLUMBUS, OHIO 43201xxxxxxxx618,010368,0104.60I1197NORTH CENTRAL MHTRANSITIONAL COMMUNITY TREATMENT TEAMS1301 NORTH HIGH STREET, COLUMBUS, OHIO 43201xxxxxxxx1,010,9371,000,93710.59I1197NORTH COMMUNITY COUNSELINGCHILD & ADOLESCENT - STUDENT ASSISTANCE PROGRAMHIGH SCHOOLS - WORTHINGTON CITY SCHOOLS: THOMAS WORTHINGTON; WORTHINGTON KILBOURNE. HIGH SCHOOLS COLUMBUS CITY SCHOOLS: NORTHLAND; BROOKHAVEN. ELEMENTARY SCHOOLS - WORTHINGTON CITY SCHOOLS: WILSON HILL; WORTHINGTON PARK, SLATE HILL; WORTHINGTON HILLS; BROOKSIDE; COLONIAL HILLS; GRANBY, SUTTER PARK; BLUFFSVIEW; EVENING STREET; WORTHINGTON ESTATES; LIBERTY.xx46,74344,8421.00I1186NORTH COMMUNITY COUNSELINGAOD4897 KARL ROAD, COLUMBUS 43229xx68,50667,9780.75I1186NORTHWEST COUNSELINGAOD/MH PREVENTION SERVICES1567 FISHINGER ROAD, COLUMBUS, OHIO 43221xxx56,64330,6770.38S1195NORTHWEST COUNSELINGHIV EARLY INTERVENTION1568 FISHINGER ROAD, COLUMBUS, OHIO 43221x149,281149,2810.88I1195NORTHWEST COUNSELINGMENTORING NORTHWEST1569 FISHINGER ROAD, COLUMBUS, OHIO 43221xx48,70046,7390.63I1195PREVENTION COUNCILHILLTOP - AFTER SCHOOL303 N EUREKA AVENUEx127,120(FOR ALL HILLTOP & HOPE)92,753(FOR ALL HILLTOP & HOPE)2.00S1214PREVENTION COUNCILHILLTOP - IN SCHOOLWESTMOOR MIDDLE SCHOOL, DANA ELEM. HIGHLAND ELEM. EAKIN ELEM.,xS1214PREVENTION COUNCILHILLTOP - SUMMER DAY CAMP2.00S1214PREVENTION COUNCILHOPE (HILLTOP & SOUTHSIDE)4.00S1214PREVENTION COUNCILLATINO2622 SULLIVANT AVENUEx50,000(FOR ALL LATINO)50,0001.00S1214PREVENTION COUNCILLATINO SUMMER DAY CAMP1.00S1214PREVENTION COUNCILMENTORING - AFTE SCHOOLSOUTHSIDE SETTLEMENT HOUSE, 310 INNIS, HOLTON RECREATION CENTER 303 NORTH EUREKAx2.00S1214PREVENTION COUNCILMENTORING - IN SCHOOLHUBBARD ES, DANA ES, SOUTHWOOD AT REEB ES, LINCOLN PARK ES,x178,401(FOR ALL MENTORING)178,4012.00S1214PREVENTION COUNCILRESOURCE CENTER240 PARSON AVExxx100,818100,8181.00U1214PREVENTION COUNCILSOUTHSIDE CHIP - AFTER SCHOOL120 SOUTHWOOD AVEx166,358(FOR ALL SS CHIP & HOPE)112,183(FOR ALL SS CHIP & HOPE)1.50S1214PREVENTION COUNCILSOUTHSIDE CHIP - IN SCHOOLDESHLER, LINCOLN PARK, SOUTHWOOD, CEDARWOOD, STEWARTxS1214PREVENTION COUNCILSOUTHSIDE CHIP - MS/HS AFTER SCHOOL120 SOUTHWOOD AVEx1.00S1214PREVENTION COUNCILSOUTHSIDE CHIP - MS/HS IN-SCHOOLMARION-FRANKLIN HIGH SCHOOL, SOUTHMOOR MIDDLE SCHOOLx61,284(FOR ALL MS/HS)61,2841.00S1214PREVENTION COUNCILSOUTHSIDE CHIP - SUMMER DAY CAMP1.50S1214PROJECT LINDENOUTPATIENT TREATMENT1500 E. 17TH AVENUE, COLUMBUS, OHIO 43219xxx