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Organization
Program
Address
Category 1	Advocacy/Public Awareness Alternative High School Crisis Intervention Faith Based Mentoring Counseling/Mental Health Other Prevention Education Outreach Resource Center Substance Abuse Treatment & Interventions After School Programs Shelter/Transitional Housing Training Violence Prevention Education
Category 2	Advocacy/Public Awareness Alternative High School Crisis Intervention Faith Based Mentoring Counseling/Mental Health Other Prevention Education Outreach Resource Center Substance Abuse Treatment & Interventions After School Programs Shelter/Transitional Housing Training Violence Prevention Education
Description
Program Open To
Fax
TDD
This program is delivered/provided at the following site(s):
Sites	Check all that apply: Elementary Schools Middle Schools High Schools Community-based organizations On-Site(s) where program is located Other:
This program is for the following age groups:
Ages	Check all that apply: 0-5  6-10  11-13  14-17  18-25  Adults  Elderly  Other:
This program is provided in the following language(s):
Language(s)	Check all that apply: English  Spanish  Other:
Comments

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