District 1 Agency Name Belle Point Mailing Address 1221 West Lakeview Avenue, Pensacola Fl 32501 Phone (850) 432-1222 Contact Craig Woolard or Lee Riley License Expiration 071507 Agency Name Coppenger House Mailing Address 1221 West Lakeview Avenue, Pensacola Fl 32501 Phone (850) 432-1222 Contact Craig Woolard or Lee Riley License Expiration 7/19/07 Agency Name Lakeview Meridian Mailing Address 1221 West Lakeview Avenue, Pensacola Fl 32501 Phone (850) 469-3675 Contact Jay Layfield Lee Riley License Expiration 9/16/06 1
District 2 Agency Name Apalachicola Forest Youth Camp Mailing Address P.O. Box 240 Hosford, Fl 32405 Phone (850) 379-3973 Contact Donnie Reed Type JITP Residential Treatment Center License s # 02bcca 010201 License Expiration 12/31/06 Agency Name Devereux Specialized Therapeutic Group Home Mailing Address 5850 TG Lee Blvd, Suite 400, Orlando Fl 32822 Phone (850) 488-7168 Contact Eddie Hadley License Expiration 6/26/07 Agency Name Devereux SIPP Mailing Address 5850 TG Lee Blvd, Suite 400, Orlando Fl 32822 Phone (850) 410-0543 Contact Mary Ann Davenport License Expiration 1/31/07 2
District 3 Agency Name The Achievement Center Mailing Address 173 SE Baya Drive, Lake City, Fl 32025 Phone (352) 755-0337 Contact Darrin Marshall License Expiration 11/28/005 3
District 4 Agency Name St. Augustine Youth Services Mailing Address 50 Saragossa Street, St. Augustine Fl 32084 Phone (904) 829-1770 Contact Schuyler Siefker License Expiration 2/20/07 Agency Name Daniel Memorial Mailing Address 3725 Belfort Road, Jacksonville, Fl 32216 Phone (904) 296-1055 Contact James D. Clark License Expiration Agency Name Ten Broeck - Jacksonville Mailing Address 6300 Beach Blvd., Jacksonville, Fl 32216 Phone (904) 724-9202 Contact Paul Andrews License Expiration 4
Suncoast Pinellas, Hillsborough, Pasco, Sarasota, Desoto (p. 1 of 2) Agency Name Carlton Manor ECP Mailing Address 7272 64 th Street North, Pinellas Park, Fl 33781 Phone (727) 546-1117 Contact Paul Buxbaum License s # 0205-004-010 License Expiration 2/13/2006 Agency Name Carlton Manor-Group Home 2 Mailing Address 5802 Fairfield Avenue North, St. Petersburg, Fl 33707 Phone (727) 343-3662 Contact Paul Buxbaum License Expiration 10/24/06 Agency Name Manatee Palms Youth Services Mailing Address 44880 51 st Street West, Bradenton, Fl 34210 Phone (941) 792-2222 Contact Linda Kautz Type SIPP Residential Treatment Center License Expiration Specialty Hospital 5
Suncoast (p 2 of 2) Agency Name Tampa Bay Academy Mailing Address 12012 Boyette Road, Riverview, Fl 33509 Phone (813) 677-6700 Contact Margaret Stept License Expiration 6/01/07 Agency Name PEMHS Mailing Address 1125 58 th Street North Pinellas Park, Fl 33782 Phone (772) 893-1177 Contact Gerald Wennlund License Expiration 12/26/06 Agency Name PEMHS (Paces) Mailing Address 1614 Palm Way, Largo, Fl 337711 Phone (727 545-6477 Contact Gerald Wennlund License Expiration 12/26/06 6
District 7 (p 1 of 2) Agency Name Devereux (Cocoa) Mailing Address 225 Burnett Road Cocoa, Fl 32922 Phone (321) 632-9472 Contact Michael Becker License Expiration 10/18/2006 Agency Name Devereux (Chuluota) Mailing Address 2180 Snowhill Road Chuluota, Fl 32766 Phone (407) 977-0336 Contact License s # 07-2343-016-05 License Expiration 06/26/2006 Agency Name Sunnyside (aka Park Place) Mailing Address 84 Beehive Circle Ave. St. Cloud, Fl 34769 Phone (407) 847-6048 Contact James Shanks License Expiration 02/25/2006 7
District 7 (2 of 2) Agency Name Devereux - Orlando Mailing Address 6147 Christian Way, Orlando, Fl 32216 Phone (407) 296-5300 Contact Michael Becker License Expiration Agency Name University Behavioral Center Mailing Address 2500 Discovery Drive, Orlando Fl 32826 Phone (407) 281-7000 Contact David l. Beardsley License Expiration 8
District 8 Agency Name Alternate Family Care Mailing Address 4055 Pinewood Road, Melbourne, Fl 32934 Phone (321) 253-9690 Contact David Ferguson License Expiration 12/10/2005 Agency Name David Lawrence Center Mailing Address 6075 Golden Gate Parkway, Naples Fl 34116 Phone (239) 455-1031 Contact David Schimmel License Expiration 01/03/2006 9
District 9 Agency Name The Children s Place at Home Safe Mailing Address 2840 6 th Avenue South Phone (561) 832-6185 Contact Linda Wyckoff License Expiration 11/30/06 10
District 10 p. 1 0f 2) Agency Name Chrysalis Center-Monarch House Mailing Address 3521 W. Broward Blvd, 3 rd Floor, Ft. Lauderdale, Fl 33312 Phone (954) 587-1008 Contact Lisa Bates License Expiration 02/26/2006 Agency Name Alternate Family Care Omega Group Home Mailing Address 1001 W. Oakland Park Blvd 3 rd Floor Sunrise, Fl 33351 Phone (954) 746-5200 Contact Sarah Cummings r License Expiration 9/08/06 Agency Name Alternate Family Care Alpha Group Home Mailing Address 1001 W. Oakland Park Blvd 3 rd Floor Sunrise, Fl 33351 Phone (954) 746-5200 Contact Sarah Cummings r License Expiration 9/08/06 11
District 10 (P. 2 of 2) Agency Name Alternate Family Care Alpha Group Home Mailing Address 5925 McKinley Street, Hollywood, Florida 33021, Fl 33351 Phone (954) 963-0992 Contact Jennifer Fulmer Type Residential Treatment Center License Expiration 10/04/06 Agency Name Citrus Mental Health Mailing Address 4175 W. 20 th Avenue #rd Floor Hialeah, Fl 33-12 Phone (305) 588-0151 Contact Gisela Suarez License Expiration 7/27/07 12
District 11 Agency Name Citrus Mental Health Dade Mailing Address 4175 West 20 th Avenue, Hialeah, Fl 33012 Phone (305) 825-0300 Contact Maria A. Alonson License Expiration Agency Name Citrus Mental Health Dade Mailing Address 4175 West 20 th Avenue, Hialeah, Fl 33012 Phone (305) 825-0300 Contact Maria A. Alonson License Expiration Agency Name Center for Family and Child Enrichment Mailing Address Phone Contact Type License Expiration 13
District 12 Agency Name Florida United Methodist Mailing Address P.O. Box 6299 Enterprise, fl 32727 Phone (386) 668-4774 Contact Wayne Strickland License Expiration 3/13/07 14
District 13 (p. 1 of 2) Agency Name: Life Stream Behavioral Center-Estes House Address: 34603 Estes Road, Eustis, FL 32726 Mailing Address: PO Box 491000, Leesburg, FL 34749-1000 Phone: (352) 357-1538 Executive Director: Jonathan M. Cherry-Pres/CEO Type: Therapeutic Group Home License Number: #13-1665-006-04 License Expiration: 11/19/05 Agency Name Trinity Point Ranch Mailing Address 19812 East 5 th Street, Umatilla, fl 32784 Phone (352) 771-8996 Contact Shelby Chavis License Expiration 7/20/06 Agency Name: Life Stream Behavioral Center-SIPP Address: 2020 Tally Road, Leesburg, FL 34748 Mailing Address: PO Box 491000, Leesburg, FL 34749-1000 Phone: (352) 315-7803 Executive Director: Jonathan M. Cherry Type: SIPP Residential Treatment Center License Number: #13-2173-012-05 License Expiration: 04/05/06 15
District 13 (p 2 of 2) Agency Name Ten Broeck - Ocala Mailing Address 3130 S.W. 25 th Avenune, Ocala, Fl 34974 Phone (352) 671-3130 Contact Robert Weinholdi Type SIPP Residential Treatment Center License Expiration 10/27/06 16
District 14 Agency Name Riverview Mailing Address Phone Contact License Expiration Agency Name Park Place Mailing Address Phone Contact License Expiration 17
District 15 Agency Name Deveruex Mailing Address 225 North Burnett Road, Cocoa Fl 32926 Phone (321) 504-2050 Contact Scott LeGrand License Expiration 10/18/06 Agency Name Sandy Pines Mailing Address 11301 SE Tequesta Terrace, Tequesta, Fl Phone (561) 744-0211 Contact Michael Anthony License Expiration 8/7/06 Source: SAMH Program Office 18