Cardinal Innovations Healthcare Regional Quality Management … · 2018-04-09 · 3/27/2018 Please...

Preview:

Citation preview

3/27/2018

Please note that QMS assignments are subject to change. Page 1 of 24

Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.orgJill Queen 704.301.5989 Jill.Queen@cardinalinnovations.orgDana Frakes 980.938.4201 Dana.Frakes@cardinalinnovations.orgOnika Wilson 704.939.7879 Onika.Wilson@cardinalinnovations.orgJoyce Hill 704.939.7700 Joyce.Hill@cardinalinnovations.orgMilissa Hintz 704.939.7792 Milissa.Hintz@cardinainnovations.org

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

AC A Better Path, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad A Bridge to Achievement NC, LLC dba A Bridge to Achievement Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

AC A Brighter Tomorrow Group, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck A Caring Home, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont A Greater Divine Place, LLC Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC A Greater X-Change Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont A Loving Hand Counseling Service (Watson, Karen) Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck A Moment for You, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgAC A Place of Their Own Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont A Safe Place Counseling Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC A Small Miracle Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

OPC A Solid Foundation Alamance Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC A Special Touch Group Home, Inc. Pender Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgTriad A Sure House, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont AACD (Alcohol Abuse Chemical Dependency) Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgAC Aarti Kapur, MD, P.A. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont ABC of NC Child Development Center Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Abilities, Inc. Lenoir Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Ablecare Corp Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Above and not Beneath, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgOPC Absolute Home and Community Services, Inc. Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Abundant Life, Inc. Randolph Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Access Family Services, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

OPC Access Health Systems New Hanover Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Aces for Autism Pitt Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC ACI Support Specialists, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgMeck ACS Primary Care Physicians Out of State Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Active Link Services, LLC. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont Adamu Salisu, MD, PLLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Addiction Recovery Medical Services, PLLC Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Addictions Recovery Care Association (ARCA) Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Adolescent Alternatives, LLC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Advance Behavioral Center, Inc. Lee Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgOPC Advance Behavioral Health Services, Inc. Lenoir Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Triad Advanced Home Care, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Agape Child Placement Agency Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Triad Agape Psychological Consortium, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Aimee Whaley, LPC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org AC Alamance Academy, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgAC Alamance Homes Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Alamance Lifeworks EAP, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Incident Report/IRIS Questions

Cardinal Innovations Healthcare Regional Quality Management Provider Account Listing

Cardinal Innovations Northern Region Quality Management ManagerCardinal Innovations Southern Region Quality Management ManagerCardinal Innovations Mecklenburg Region Quality Management ManagerCardinal Innovations Director of Quality Management

3/27/2018

Please note that QMS assignments are subject to change. Page 2 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Triad Alberta Professional Services, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Alcohol and Drug Services of Guilford, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Alexander Wilson, LPC, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Alexander Youth Network, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.orgFC Alisa Ryan Young Wayne Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Alisha Cooper, LPC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

AC All God's Children of Burlington, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Allan A. Maltbie, MD Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Triad Allegheny County Memorial Hospital Alleghany Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org FC Alliance Rehabilitative Care, Inc. Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

AC Allied Churches of Alamance County, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Alloway Consulting PLLC. dba Center for Personal Growth Mecklenburg Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgFC Alpha Management Community Services, Inc. Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Alpha Management Services Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Alternative Behavior Strategies, Inc. Salt Lake Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgAC Alternative Behavioral Solutions, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Alternative Living Solutions Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont Alternative Living Solutions of North Carolina Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Alternatives Counseling, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Alycia M. Brown, M.D. PA Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Ambleside Inc. Greene Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgOPC Amelia Williams dba Community Link Services Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC American Health, LLC Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Americare Developmental Services Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Triad Amethyst Consulting and Treatment Solutions, PLLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Amia Briscoe, MA, LPC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgPiedmont Amisub of North Carolina, Inc. dba Central Carolina Hospital Lee Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Amisub of South Carolina, Inc. dba Piedmont Medical Center Out of State Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Triad Amy D. Foster d/b/a FOSTERING MINDS Yadkin Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Amy F. Johnson Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Anderson Behavioral Health, Inc. dba Anderson Health Services Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Anderson Counseling and Consulting Group, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC Aneesah Thomas, LPC (Moments Matter Therapeutic Solutions) Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Angela Annas, LCSW Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Angela McNeff dba Verses Healthcare Services Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Triad Angela Wiley, LPC dba Greensboro Dance & Drama Therapy Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org AC Angelic Heartz Care Facility Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

OPC Ann Murphy, LCSW Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Meck Ann Smolin, PhD, PLLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

OPC Anna S. Klein Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org AC Another Chance for Opportunities, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Another Level Counseling and Consultation, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Anuvia Prevention & Recovery Center, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgAC Apogee Homes Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Appalachian Counseling and Evaluation Center, PLLC Caldwell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgAC Ariel Community Care, LLC Caswell Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck ARJ, LLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

AC ARMC Health Care dba Alamance Regional Medical Center Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC ARMC Physicians Care, Inc. dba Alamance Regional Psychiatric Associates Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Arnold E. Nelson, PhD Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Ascend Psychological Services, PLLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Asheboro Emergency Physicians Randolph Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Asheli Thompson dba Integrative Wellness Solutions Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 3 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC ASIS Counseling, PLLC Vance Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC Associated Family and Life Services Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC AT & B Residential Adult Group Home Services Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

FC AT-Home Counseling Services Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

TriadATS of North Carolina, LLC d/b/a Mountain Health Solutions of North Wilkesboro

Wilkes Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Aubrey M. Jordan, LMFT Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Autism Services Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Autism Services of Mecklenburg County Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Autism Society of North Carolina Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Ava Annette Horsley Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Azure Psychotherapy, PLLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC B and D Behavioral Health Services Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

OPC BAART Community Healthcare, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Baptist Children's Home of NC, Inc. Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgPiedmont Barium Springs Home for Children Iredell Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Triad Bathory International, PLLC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Bayada Home Health Care, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Be Well Therapy, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Behavior Consultation and Psychological Services, PLLC Pitt Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Behavioral Assessment Services, PLLC Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

OPC Behavioral Health Solutions, PA Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Triad Behavioral Services, Inc. Surry Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Bern Counseling Group, LLC Craven Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Bert Lester Bennett, III dba Carolina Piedmont Psychological Associates Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Bertie Memorial Hospital Bertie Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC Best Life, Incorporated (Anne Hendricks) Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Piedmont Betsy Johnson Regional Hospital Harnett Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Better Connections, Inc. Edgecombe Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Better Days AHEAD of Rocky Mount, Inc. Edgecombe Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Beverly Fulbright, PhD. Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Triad Beverly Nicholas Jones, M.D. PA Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Beyond Challenges Community Services, LLC Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgMeck BGM Health Solutions, LLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

OPC BIP - Behavior Intervention Professionals of the Triangle, PLLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC Birch Manor Group Home Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgAC Black and Associates Global, Inc. (Our Home) Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Blackwell's Community Living, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Blue Ridge Area Foundation, Inc. Buncombe Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Blue Ridge Emergency Medical Associates, LLC Burke Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Blue Ridge Healthcare Medical Group Inc. dba Grace Psychiatric Associates Burke Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Bonnie Barnett Murphy, LMFT Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Boyden Dean Melton, LCAS Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC Break Out, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Brenda L. Eshbach, PC dba Eshbach Counseling Services Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Bridging The Gap Residential Services, LLC Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Broadview Health, PLLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Broughton Hospital Burke LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 4 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Meck Brown Clinical Services Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

ACBrunswick Community Hospital, LLC dba Novant Health Brunswick Medical Center

Brunswick Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Brynn Marr Hospital, Inc. Onslow Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgOPC Brynn Marr Hospital, Inc. Onslow Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Building Endurance, PLLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgTriad Burston's Consulting and Counseling Services, LLC Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Butterflies and Bumblebees 1, PLLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck BWELL Services, LLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgFC C&M Behavioral Health, PLLC Halifax Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont C.F. Marketing, LLC Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Cabarrus County Group Homes, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Camino Community Development Corporation, Inc dba Bethesda Health Cen Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Triad Candace Washington (CandiCares, PLLC) Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Cano Family Services, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgPiedmont Canyon Hills Treatment Facility Hoke Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC Cape Fear Group Homes, Inc. New Hanover Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Cape Fear Valley Health System ED Physicians Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC CAPS 4 U, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC Caramore Community, Inc. Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Piedmont Cardinal Clinic, LLC Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Care Well of Charlotte, NC, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont Carenet Inc. dba Baptist Hospital Carenet Counseling Center Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Caring for Children, Inc. Buncombe Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

OPC Caring Hands and Supplementary Enrichment Education, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Carobell, Inc. Onslow Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Carolina Addiction and Recovery Environment Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Carolina Behavioral Care, PA Moore Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC Carolina Child Psychology, PLLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Carolina Community Support Services, Inc. Durham Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Carolina Counseling and Consultation, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Carolina Counseling, Inc. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC Carolina Enhancement Services, LLC Caswell Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgMeck Carolina Family Alliance Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgMeck Carolina Family Counseling, PLLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Carolina Healthcare Associates, Inc. dba CHA Division of Psychiatry New Hanover Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

OPC Carolina Living & Learning Center (TEACCH) Chatham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Carolina Mountain Emergency Medicine, PA McDowell Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

OPC Carolina Outreach, LLC Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Meck Carolina Pain Associates, PA Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont Carolina Parenting Solutions, PLLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Carolina Residential Services, Inc Caldwell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Carolina Therapeutic Services First, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC CarolinaEast Medical Center Craven Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC CarolinaEast Medical Center Craven Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Carolina's Creative Counseling, PA Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Carolinas HealthCare System Anson Anson Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck Carolinas HealthCare System Northeast Cabarrus Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck Carolinas HealthCare System University (FAC) Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgMeck Carolinas Interactive Therapy, LLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgMeck Carolinas Medical Center-Main (FAC) Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 5 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Meck Carolinas Medical Group - Psychiatric & Psychological Associates (PG) Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont Carolinas Physicians Network, Inc. dba Cabarrus Family Medicine Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Carolina's Therapy Solutions, PA Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck CaroMont Medical Group dba CaroMont Psychiatric Associates Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Carteret County General Hospital Corp. Carteret Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Catawba Valley Emergency Physicians, PA Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Catawba Valley Medical Center Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Cathartic Counseling Services, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Cedars DDA Group Home Alamance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Ceesons of Change, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Center for Emotional Health P.C. Cabarrus Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Center for Family & Maternal Wellness, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Center for Prevention Services Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

FC Central Community Services, LLC Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Central Emergency Physicians, PLLC Lee Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgFC Central Regional Hospital Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Champion Family Healthcare Services, LLC dba Keston Care Chatham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

FC Champion Healthcare Services Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Change Academy at Lake of the Ozarks (CALO) Out of State PRTF Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

AC Chapel Hill Training Outreach Project, Inc. Orange Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Charles A. Cannon Jr. Memorial Hospital, Inc. Avery Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad Charles Hines & Son, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

FC Chatham County Group Homes, Inc. Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC Chatham Hospital, Inc. Chatham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Chatham Recovery LLC Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgOPC Chatham Trades, Inc. Chatham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Chemical Dependency Services, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Cherry Hospital Wayne Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Child & Family Therapy Center, P.C. Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Children's Advocacy Network, LLC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

AC Children's Home Society of North Carolina, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Choices Substance Abuse Services Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Christensen Family Therapy, PLLC Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC Christian Fisher, LLC Chatham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org FC Christian's House of Hope, Inc. Five County Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Christopher Abbey, LPC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgPiedmont Chrysalis Counseling (Kandace Noelle Koontz Perryman, LPC) Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Chrysalis Development Solutions, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck CHS Blue Ridge Morganton Burke Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont Claudia Melton, LPC, RPT. Randolph Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgPiedmont Clay Camp, LPA Iredell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Cleveland Tennessee Hospital Company, LLC dba Skyridge Medical Center Out of State Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Cliff Anderson, LPC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Triad Climbing Jacob's Ladder, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Clinical & Forensic Psychological Services, PC. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC Club Nova Community, Inc. Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC CNC/ACCESS Inc. dba ResCare HomeCare Mecklenburg Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Coastal Behavior Health Services, Inc. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 6 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Piedmont Coastal Carolina Counseling Center, PA Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgFC Coastal Carolina Neuropsychiatric Center, PA Onslow Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Coastal Horizons Center, Inc. Alamance Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Cohesive Counseling Services (Crews, Carmella) Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgMeck Colette Spears Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org Meck Collaborative Hope Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont Columbus Regional Healthcare Columbus Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Community Alternatives dba Community Choices, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Triad Community Assisted Residential Environment (C.A.R.E.) Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Community Care Service, LLC Durham Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Community Companion Home Care, LLC McDowell Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgOPC Community Counseling Services, PC Person Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Community General Health Partners, Inc. dba Thomasville Medical Center Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Community Innovations Inc., Saguaro Group Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgFC Community Memorial Hospital Out of State Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Community Specialized Services, Inc. Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Community Support Agency, LLC Columbus County Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC Community Support Service, LLC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgMeck Community Treatment Alternatives, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC Community Workforce Solutions, Inc. Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Compassionate Care of North Carolina, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Comprehensive Community Care, Inc. Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Comprehensive Therapeutic Programs, LLC Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont ComServ, Inc. Caldwell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgPiedmont Connecting the DOTS Treatment Services and Consultation Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Consejeria Ruiz, PLLC (Naneth Ruiz, MA, LPCA, LCASA) Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Constance Wulff, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Continuum Care Services, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC Cora Strickland, LPC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

OPC Core Essentials, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Cornerstone Behavioral (Main) Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgMeck Cornerstone Community Outreach, LLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Piedmont Cornerstone Health Care, LLC Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

PiedmontCornerstone Treatment Facility, Inc./Cornerstone Treatment Facility Program, Inc

Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Cotswold Clinician Support Services, LLC Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Triad County of Davie Office of Finance Agent dba Dave County Public Health Davie Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Covenant Case Management Services, LLC. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont Cozie's Supervised Living Randolph Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgPiedmont Craig Hunt Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Crandell's Enterprises, Inc. Wake Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

OPC CRC ED Treatment, Inc. dba Carolina House Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Creative Consultants Group, Inc. dba Carolina Center for ABA and Autism Treatment Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org Piedmont Creative Counseling and Learning Solutions, PLLC Stanly Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Creative Counseling and Wellness Center Corporation Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Meck Creative Counseling Strategies Incorporated Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC Creative Custom Living, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Creative Directions, Inc. (SB 163) Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Crossroads Treatment Center of Greensboro, PC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

PiedmontCumberland County Hospital System, Inc. dba Behavioral Health Care of Cape Fear Valley Health System

Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Curry's Haven Alamance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC CW Counseling Services, Inc. Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Cynthia D. Edwards, LCSW Guilford Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont D&L Health Services Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgPiedmont D&L Healthcare Services, Inc. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 7 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC D.D. Residential Services, Inc. Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgPiedmont Dana K Cook Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Daniel P. Anthony, LPC dba Counseling Center at Providence Place Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Danville Regional Medical Center Out of State Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont David L. Mount, LP dba Mind Body Institute Beyond Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC David Rademacher, MA, Inc. Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Davidson Homes, Inc. Buncombe Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont Davidson's Day Reporting Center Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Davis Regional Medical Center Iredell Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Day by Day Family Services, LLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont DAYMARK Recovery Services, Inc. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Deborah Huie dba Debby Huie Counseling, PLLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC Dee &G Enrichment Center #2 Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgAC Dee &G Enrichment Center #3 Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Delores Byrd Union Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Delta Behavioral Group, PLLC. Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Denice M. Greene, LPC. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Denisa Hannah Warren Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgOPC Denise D. Mitchell, LCSW Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Desired Solutions and More, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck Developmental Disabilities Resources, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgOPC Devereaux Residential Services, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Diamonds Community Based Services, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont Diana's Homecare, Inc. Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Discovering Authentic Living, LLC. (Leighton, Deborah) Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Discovery Pediatric Physical Therapy, LLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Diverse Family Services, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Diverse Wellness Solutions, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Triad DIVERSIFIED CHOICE Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC DLP Maria Parham Medical Center, LLC Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

OPC DLP Person Memorial Hospital, LLC dba Person Memorial Hospital Person Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Donna Bowrey Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgAC Donna Pittman Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

OPC Dorothea Dix Hospital Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC Dr. Joseph V. Libera, PT Caswell Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Dr. Susie O. Troxler, PH.D., LP Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Dream Makers Assisted Living Services, LLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Dreams and Vision, LLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgOPC Duke Raleigh Hospital Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Duke University Health System, Inc. dba Duke University Hospital Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Duke University Health System, Inc. dba Duke University Hospital Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

FC Duplin General Hospital, Inc., dba. Vidant Duplin Hospital Duplin Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC Durham Exchange Club Industries, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Meck Each One Reach One Two Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC Eagle Healthcare Services, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Eason Court Group Home, LLC Franklin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC East Carolina Psychiatric Consultants Wayne Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Easter Seals UCP North Carolina & Virginia, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

AC Eboni Lanier Jones, LCSW Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Echelon Consulting, Inc. dba Echelon Care Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC Eclectic Therapeutic Connections, PLLC Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 8 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FCEducare Community Living Corporation of North Carolina dba Community Alternatives

Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Edwards' Assessment and Counseling, Inc. Halifax Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgFC Edwards Community Support Services, Inc. Greene Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC El Futuro, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Elaina Terry, MA, LPC, NCC Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgMeck Eliada Homes, Inc. Buncombe Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

OPC Elif Merkler, PhD Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Elite Adolescent Care, Inc. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Elite Adolescent Care, Inc. dba Youth Spring Caswell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Elite Care Services, Inc. Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Elizabeth K. Smith Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Empowerment Quality Care Services, LLC. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

OPC Enhancement Health Care, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Triad Enjonae Anderson dab Mended Hearts Counseling Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Enoch Group Home - Merciful Hands, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Envisions of Life, LLC Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Epilepsy Institute of North Carolina Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Epiphany Family Services, LLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.orgPiedmont Eric Hall, Representative Karen Hall Union Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgPiedmont Erin B. Messimer, LPC, NCC Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Essential Assessments and Behavioral Health, PLLC Mecklenburg Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Evans E. Harrell, Ph.D Nash Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Excalibur Youth Services, LLC Greenville Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

AC Exceptional Family Support Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Faith and Hope House Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Faith Counseling and Clinical Consultation Services, PLLC Chowan Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Faith In Families, Inc. Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Faith Medical Center, PC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.orgAC Falcon Crest Residential Care, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Family Affair Care Group Management, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Family Behavioral Health Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Family Counseling Center, PLLC. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Family First Community Services, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Family Innovations, LLC. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.orgFC Family Medicine & Rehabilitation Center, P.C. Wayne Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Family Mental Health Services, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Family Preservation Community Services Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Meck Family Preservation Services of North Carolina, Inc. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Family Services of America Corp. Cumberland Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Family Services of Davidson County, Inc. Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Family Services, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org Triad Family Solutions Center Davie Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Family Solutions, PLLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Fast Braiin Oxford, LLC Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Fayetteville Psychiatric Associates Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Fidelity Community Support Group, Inc. Durham Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Finding Solutions, Inc. Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Firm Foundation Inc. Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont First & Second Chance Adult Care Services, Inc. Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC First Genesis Family Services, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC First in Families of North Carolina Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 9 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC First Step Community Services, LLC Alamance Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgPiedmont First Step Counseling, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck First Step Farm of WNC, Inc. Buncombe Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.orgMeck Florence Crittenton Services, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgMeck Focus Behavioral Health Services, LLC Burke Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont Forever Young Group Care, LLC. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Forsyth Memorial Hospital, Inc. dba Novant Health Forsyth Medical Center Forsyth Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

PiedmontForsyth Memorial Hospital, Inc. dba Novant Health Forsyth Medical Center Physicians Group

Forsyth Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Foster's Care Facility, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Foundation Family Care, PC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

AC Fran Marshall, LCSW Orange Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Freedom House Recovery Center, Inc. Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Freida and Graham Johnson Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Fresh Start Services, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Fresh Start Youth Services, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Triad FRIENDLY PEOPLE THAT CARE, LLC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Friendship Home of Monroe, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Frye Regional Medical Center Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgPiedmont Frye Regional Medical Center Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Future Vision/Vision House, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org Meck Gaffney Health Services, PA Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgMeck Gaston Adolescent Center, Inc. Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Gaston Memorial Hospital Inc. dba Caromont Regional Medical Center Gaston Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Gaston Residential Services, Inc. Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Gaston Skills Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Genesis Project 1, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.orgAC Genesis Residential Care Center, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Genesis.. A New Beginning, Inc. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC GentleHands of North Carolina, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont George Popper, PH.D Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Geriatric Neuropsychiatry Services, PLLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Getting Ready, Inc. Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont GHA Autism Supports Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck GIC of Charlotte Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Give A Hand, Inc. Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Graham A. Hunter, PhD. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Triad Grandfather Home for Children, Inc. Avery Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Grandis Evaluation Center Buncombe LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgFC Granville Health System - Behavioral Health Services Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Greater Image Healthcare Corp. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC Green Valley Haven, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Greensboro Metro Treatment Center Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Greg Yousey, MA, LPA Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Growing Child Pediatrics, PA Franklin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Guardian Angel Healthcare, LLC Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont GuardianTrac LLC dba GT Independence out of state Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Guidance House Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

FC Guiding Star Health Care Two, Inc. Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Halifax Medical Center, Inc. Halifax Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Haven House, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 10 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

AC Hazel's Residential Care Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Healing Helpers Therapeutic Services, PLLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org FC Healthy Transformations Counseling, PC Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck HeartSpring, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

AC Heiney and Associates, PLLC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad HELEN GIRARD-COLLINS Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org FC Helping Hands MH/DD Services, LLC Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Helping Other People Excel Intervention Services, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

FC Herbert Way of Living, LLC Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgOPC HHDM, Inc. dba Johnston Recovery Services Johnston Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Triad High Point Regional Health System Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Higher Aspiration Behavioral Healthcare, LLC Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Hilltop Home, Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Hind's Feet Farm, Inc. Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Holly Britt-Warren, LCSW Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC Holly Gammon Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgFC Holly Hill Hospital Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Holy Angels Services, Inc. Gaston Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Triad Home Care Solutions of NC, LLC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Home for Family Intimacy, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont HomeCare Management Corp. Iredell Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Homer Edward Wright Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Hope and Inner Strength Therapy, PLLC. Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Hope Center, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgTriad HOPE Counseling & Consulting Services, Inc. Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Hope Haven, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Meck Hope Psychiatric, PLLC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Hope Services, LLC Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

AC Hope's Highway, PLLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Horizons Residential Care Center Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Hosford & Welsh Services, LLC Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC Housing for New Hope, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Howell Support Services, LLC Lenoir Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

FC Ideal Response Services, LLC Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Ilene Lillian Bayer, LCSW, PLLC Surry Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Impact Carolina Services, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Triad Inclusion Counseling Services, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Inclusive Counseling Solutions, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC Independent Case Management, Inc. Chatham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Independent Opportunities, Inc. Mecklenburg Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Infinite Possibilities, Inc. Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Inner Strength Counseling Services Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Inner Transformation Therapeutic Services, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgMeck InnerVision, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Piedmont Innovacion Counseling Services (Madrid, Alex) Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Innovative Compliance Solutions, LLC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgMeck Innovative Counseling Services, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.orgMeck Innovative Support Services Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgOPC InPatient Consultants of North Carolina, P.C. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck InReach, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Triad Insight Human Services Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Inspirationz, LLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 11 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

OPC Institute of Art Therapy Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Integral Counseling Services, PLLC Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Integrated Behavioral Health Management, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC Integrated Behavioral Health Solutions, PLLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgFC Integrated Family Services, PLLC Hertford Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Intensive Family Services, LLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Invictus of NC, Inc. Previously, Mills Counseling, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgMeck Isis Reddick-Umoja, LPC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgMeck J. Iverson Riddle Developmental Center Burke Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Triad J.L. Redford, Inc. Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC J-1 Consultants, LLC Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Jackie Petty, MA, LPC dba Child and Family Therapy Lee Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Jacobs Counseling, Inc. Lee Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Jaesan, PC Mecklenburg Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck James B. Payton, MD Buncombe Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgPiedmont James T. Barker II, MD Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgPiedmont Janice E. Helms, LPC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Jason E. Mastor, MD, PA Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Jay L. Boulter, MA, LMFT, LPC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Jay Synn, MD Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Jeffrey LaForge, LCSW Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Jeffrey Marshall, LPA Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Jennifer Call Change, MA, LPA dba Henderson Psychological Services, PLLC Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

OPC Jennifer Weinzimmer Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

ACJessica Jeremiah dba Lakeside Psychotherapy, Trauma & Addiction Counseling

Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Jessica M. Beyer, LPC dba La Vida Counseling Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Jessica Marge, LCSW Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Jewish Family Services of Greater Charlotte, Inc. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Jim Wylie Counseling Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Triad Jimekun and Associates, LLC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Jireh's Place Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck JM Counseling and Support Services, PLLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgAC JMJ Enterprises, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Joanna Warren, MS, LMFT Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgFC Joanne M. Schaffer, MSW, LCSW, PA Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Jodi Province Counseling, PLLC Wilkes Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Jodie Castellani, PH.D Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Joe C. Parker, LPCA Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC John David Shanks, LCSW Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Triad John Pulliam Surry Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont John Robert Bradey, PH.D Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Johnson's House of Hope and Family Care Home Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Johnston County Public Health Department Johnston Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

AC Johnston Memorial Hospital Johnston Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Jones Health Services, Inc. Durham Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgFC Joseph’s Community Support Services, Inc. Lenoir Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Journey Through Life, PLLC Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

ACJOURNEYS COUNSELING CENTER PROFESSIONAL CORPORATION (SHIRENA SMITH)

Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Juan Bautista Santos, LPCA Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad Julia M. Brannon, PhD. and Associates, Inc. Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 12 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

AC Julia Tabor, LPC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Julian F. Keith, ADATC Buncombe Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

FC Julie Daul, LCSW Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Julie Griffin Union Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Just In Time Youth Services, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgTriad Karen A. Rose, LCSW Davie Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org OPC Karen Landis, LCSW, PLLC Person Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Karen Machell Cox-Harris Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

OPC Karyetta L. Walker dba New Season Clinical Services Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Katherine Eden Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org AC Kathleen Grumblatt Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Kathy Kristner Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Katie Cox, MSW, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Keith Haith dba FOKUS Residential services Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

FC Kelly K. Anthony, PH.D. PLLC Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Triad Kernersville Counseling Center, PLLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Kernersville Psychological Evaluation Services, PLLC. Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Kernodle Clinic, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Kerr Homes, Inc. Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Keshawn McCLeod, LCSW Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgFC Keys to Recovery Counseling Services, PLLC Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Keystone WSNC LLC dba Old Vineyard Behavioral Health Services Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Kids On Up Psychotherapy, Inc. dba Solomon Kobes, LCSW Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

FCKidspeace National Centers of North America, Inc. dba North Carolina Foster Care and Community Programs

Out of State, sites in Durham, Cumberland, Wake

Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Kimberly A. Scott, LCSW Franklin Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Triad Kinderton Counseling and Play Therapy Davie Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org FC KMG Holdings, Inc. Johnston Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Knew Era Consulting, PLLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

AC Kopper Top Life Learning Center, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Kristin E. Byrd Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Kristles Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC L & J Homes, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck L&B Counseling (Morrow, Trent) Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

AC L&M Management, Inc. #2 Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Lake Norman Psychological Services, PLLC Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Lake Norman Regional Medical Center Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgMeck Lakisha Harris dba Harris Counseling and Coaching Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Triad Latrina D. Winford, LPCS Davidson Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Laura Marie Greenhalgh, LPC, NCC Stanly Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Leaders of Tomorrow, LLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

FC Learning Services Neurobehavioral Institute; Learning Services Corp. Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Le'Chris Counseling Services, Inc. Carteret Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Le'Chris Health Systems dba Le'Chris Behavioral Health Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Le'Chris Health Systems of Greenville Inc. Pitt Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Legacy Empowerment Services, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Levan Place Caswell Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Lexington Treatment Associates Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgMeck Life and Wellness Counseling and Consulting, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC Life Changez, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgMeck Life Enrichment Center of Cleveland County, Inc. Cleveland Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC Life Inc. Wayne Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 13 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Piedmont Life Opportunities Therapeutic Home Services, LLC Robeson Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgMeck Life Solutions Consulting, LLC Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Piedmont LifeSkills Counseling Center Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC Lifesource of North Carolina, Inc. New Hanover Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Lifespan, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgAC Lillies Place Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgFC Lilyco Services, LLC Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Lindley Habilitation Services, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Little Gerald Services, LLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Living Water Counseling Associates, PA Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Lorven Child and Family Development, LLC Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad LSM Enterprizes Inc. dba Disability Management Services Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org FC Lucy Daniels Center for Early Childhood Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Lutheran Family Services in the Carolinas Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Lutrino Blalock, MA, LPA Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgAC LYDIA'S HOME, LLC PHASE I Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Lynette Johnson Franklin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC M & M Special Services Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont MacBill, Inc. Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgMeck Macon Citizens Habilities, Inc. Macon Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Triad Majestic Solutions, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Malti P. Mehta Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgOPC Marc Goldman Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org FC Marcelo Enrique Lopez-Ciaros, MD Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Marguerita Stirin Blaker, PA Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

AC Marilyn Grubbs dba Healing Hearts Orange Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC Marina L. Ervin, MS, LPC, NCC, BCPCC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Mark S. Cadavero, LCSW Cherokee Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Triad Marsh's Residential Living Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

FC Martin General Hospital Martin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Marvin David Coulthard Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Mary Beth Pugh, MS, LCSW Randolph Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC Mary N. Woods- Union Avenue Group Home LLC (SB-163) Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Mary Willis Page, MA, LPA Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Matchbox Health Services Corporation Durham Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Matrix Mental Health Alliance, LLC. Dba CriSys Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck MATTA, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Maxim Healthcare Services, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck McCloud Acosta Clinical Services, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

OPC McDaniel Homes, LLC Person Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Piedmont McLaurin Home Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck McLeod Addictive Disease Center, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont McNiel Family Counseling & Services, LLC. Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Mecklenburg County Community Support Services Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgAC Medstar Union Memorial Hospital Out of State Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck MedTrac Solutions Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Triad Medventures, LLC dba Regional Physicians Physical Medicine Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Melissa Ann Doerfer-Grace, MS/EDS/LPC, NCC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Melvin R. Battle, LPC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgTriad Mental Health Associates of the Triad Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 14 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Triad Mentor Behavioral Healthcare Watauga Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Piedmont Mercy Hospital Inc. dba Behavioral Health Center Mercy Hospital Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgPiedmont Mercy Hospital Inc. dba Pineville Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Mercy Medical Center Out of State Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Meridian Behavioral Health Services, Inc. Jackson Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgPiedmont Meridian Support Services, LLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Miami Childrens Hospital Out of State Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Michelle Crosier, LCSW Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

AC Michelle Whitfield, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Mid-Atlantic Emergency Medical Associates, PA Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgPiedmont Mid-State Health Systems, Inc. Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Milling Manor, Inc. Davie Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Meck Mindfullness Counseling & Wellness, PLLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Meck Miracle Houses, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Piedmont Miracles Healing Center, Inc. Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Miranda Meaders, MA, LPA Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

OPC Miranda Page Morgan, LCSW Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

AC Miranda Peoples, LPC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Mission Hospital Inc. Buncombe Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Modern Treatment Healthcare Services, PLLC Iredell LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont Monarch Stanly Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgFC More Than Conquerors Youth Center Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Morgan Support Services, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Morse Clinic of Hillsborough, PC Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org OPC Morse Clinic of North Raleigh, PC Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC Morse Clinic of Zebulon, PC Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Mosaic Group, LLC dba Mosaic Pediatric Therapy, LLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Triad Moses Cone Behavioral Health Center Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Moss Counseling Services, PLLC (Moss, Beverly) Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Triad Mount Airy Emergency Physicians, PLLC Surry Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Triad Multi Therapeutic Services, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Multicultural Resources Center, Inc. Cumberland Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgFC Murdoch Center Granville Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Murphy Medical Center, Inc. (FAC) Cherokee Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck My B.R.O.T.H.E.R.S. House, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck My Peace Keeper, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgPiedmont Naomi D. Davis, LCSW Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Nash Hospitals Inc. dba Coastal Plains Hospital Nash Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Natalie Errante, PMH-NP Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Natasha Branon, MA. LPC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

OPC Nathan R. Strahl, MD Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Nazareth Children's Home, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FCNC Division of Vocational Rehabilitation Services dba Assistive Technology Program

Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Neuropsychiatric Care Center, PLLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Neuse Enterprises, Inc. Lenoir Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Meck Nevins, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC New Beginnings Counseling Services, PLLC Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC New Beginnings Day Treatment Center, LLC Halifax Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC New Beginnings Group Home Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont New Beginnings of NC, LLC Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

PiedmontNew Beginnings Youth Facility, LLC. Dba Steps for Change Behavioral Healthcare, LLC.

Randolph Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC New Destinations, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgAC New Dimensions, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 15 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

AC New Hanover Regional Medical Center New Hanover Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck New Hope Carolinas, Inc.Out of State- Charleston

LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont New Hope Residential Services Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck New Hope Specialty Clinic, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Triad NEW HORIZONS ADULT DAY SERVICES Yadkin Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont New Horizons Treatment Center, Inc. Randolph Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck New Leaf Adolescent Care, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont New Mentality P.C. Iredell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont New Path Youth Services Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck New Place, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC New Possibilities Homes for Children, LLC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad New River Cottage Inc. Alleghany Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad New Vision Therapy, PLLC Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC New York City Health and Hospital Corp. Out of State Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont New-Lite Living Choices, Inc. Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgFC Nicholas Pediaditakis, MD Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont NML Mentoring Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck No Bounds Care, Inc. Formerly K'nCryst Healthcare Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Triad North Carolina Baptist Hospital Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont North Carolina Children's Place Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont North Carolina Emergency Partners, PLLC. Iredell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC North Carolina Emergency Physicians, PLLC Edgecombe Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont North Carolina Life of Rehabilitation, Inc. Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC North Carolina Neuropsychiatry, PA Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Meck North Carolina Outreach Home Care, LLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org OPC Northeast Tennessee Emergency Physicians, PC Out of State Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Triad Northern Hospital District of Surry County Surry Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Northern Piedmont Counseling, PLLC Rowan Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC NOVA IC, Inc. Wayne Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC NOVA Inc. Lenoir Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Novant Medical Group, Inc. dba Rowan Psychiatric Associates Rowan Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Now Counseling and Consulting Services Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont NSC Behavioral Concepts, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC NuMe Counseling & Consulting, LLC Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgFC NuVizions, LLC Hertford Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Oasis Clinical Care Management, LLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Oasis: A Holistic Network, LLC Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC O'Berry Center Wayne Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck October Road, Inc. Buncombe Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

AC OE Enterprises, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Oliver's Contracting Consulting & Counseling Services (White, Janet) Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

OPC Omni Visions, Inc. Mecklenburg Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont One Love Developmental Services, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck One Love Periodic Services, Inc.. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck One On One Care, Inc. Cleveland LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Meck One Step Forward Housing Services (SB-163) Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck One Step Forward Outreach (SB-163) Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

OPC OneCare Inc. dba OneCare Behavioral Health System Wake Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 16 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Meck Onsite Care, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

AC Onslow Memorial Hospital Inc. Onslow Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Open Arms, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Open Door Psychological Services, PLLC (Glascock, Valerie) Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Our Community Hospital Halifax Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Outer Planetary Touch, Inc. dba Brighterday Theraplay Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Outward Bound 1, LLC Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck P&G Clinical Services, PLLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

FC P&W Group, LLC Vance Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgTriad Palmer Edwards Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Palmetto Lowcountry Behavioral Health, LLC Out of State LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

OPC Pam Fogleman Alamance Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Paradigm Inc. Pitt Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Partnership for Drug-Free NC, Inc. Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Path of Hope, Inc. Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Pathways for People, Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Pathways to Life, Inc. Pitt Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Patricia O. Sprouse, LPC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Patrick Shawn Murphy, MA, LPC, NCC Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Peak Professional Group, PLLC Wake Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Pender Memorial Hospital Pender Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Penny Inc. dba Root of the Matter (Penny Latricia) Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Penwell Counseling Services, PLLC Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Perry R. Griffin, LPCA dba Cross Cultural Counseling Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Meck Person Centered Partnerships, Inc. dba Amara Wellness, Inc. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

OPC Person County Group Homes, Inc. Person Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org OPC Person County Schools dba Early Intervention and Family Services Person Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Person Industries Person Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Peter-Elst, LLC Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Peterkin and Associates, Inc. Cumberland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC PHP of NC, Inc. Durham Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgPiedmont Piedmont Residential Development Center, Inc. Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC Piney Ridge Treatment Center, LLC Washington Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Pinnacle Counseling Services, PLLC Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPCPinnacle Family Services of North Carolina, LLC (Formerly National Mentor HealthCare, LLC, dba NC Mentor)

Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Pinnacle Point Supportive Services, LLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

FC Pitt County Group Home Pitt Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC PORT Human Service, Inc. Pitt Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Positive Directions Therapy, PLLC. (Ndupu, Samuel) Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

FC Positive Outlook Services, LLC Warren Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Positive Perceptions, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Triad PQA Healthcare Services, Inc. Surry Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Meck Praising Hands, LLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Preferred Choice Healthcare Cleveland Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.orgPiedmont Premier Healthcare Services, Inc. Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.orgPiedmont Premier Service of the Carolinas, LLC Stanly Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC Premiere Health and Wellness Medical Center, PLLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Presbyterian Behavioral Health Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

PiedmontPresbyterian Medical Care Corp. dba Novant Health Matthews Medical Center

Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 17 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC PRIDE in North Carolina, LLC Pitt Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Primary Care Solutions, Inc. Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Piedmont Primary Health Choice, Inc. Scotland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC PrimeDoc of Burlington PA Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck ProCure Therapeutic Agency, Inc. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Progressive Recovery Resources, LLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Project 658, Inc. dba Smith Family Wellness Center Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Piedmont Providence Facilities, Inc. Montgomery Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Providence Memorial Hospital Out of State LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont Providence Psychiatric and Behavioral Health Services, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Provisions Counseling Services (Fair, Shiricka) Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Psychiatric and Forensic Associates, PA Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Meck Psychiatric Services of the Carolinas, PC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Psychological Medicine Clinic, PLLC Wilson Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Psychological Mobile Services, PA Wilson Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Psychotherapeutic Services, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Public Health Authority of Cabarrus County dba Cabarrus Health Alliance Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Pungo District Hospital Corporation Beaufort Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Q-1 Clinical Consultants, LLC Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck QHG of South Carolina Inc. dba Carolina Hospital Out of State Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

AC Quality Care III, dba Quality Care Group Home Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Quality Care Solutions, Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Quality Home Care Services, LLC Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Quest Provider Services, Inc. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgFC R.J. Blackley ADATC Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgFC Rachel's House Bertie Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Rae's Playze Adult Day Center Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.orgPiedmont Rainbow 66 Storehouse, Inc. Scotland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Rainey Psychological Services, PC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Raleigh Emergency Medicine Associates, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgAC Raleigh General Hospital, LLC. Out of State Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Raleigh Psychological Services, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

AC Ralph Scott Lifeservices, Inc. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Randolph Hospital Randolph Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgOPC RAPHA Healthcare Services, LLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Rapha House Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.orgFC Rasheede Hicks, M.ED, LPC Franklin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Realistic Change By Choice, Inc. Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Rebecca McKeever Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Rebound Behavioral Health, LLC Out of State Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Recovery Innovations of NC, Inc. Vance Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Reflections Clinical Counseling, PLLC Vance Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgOPC Rehabilitated Support Services, PLLC Person Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Triad REMMSCO Inc. Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

FC Renaissance Wellness Services, LLC Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgMeck ReNew Support Services, PLLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC Renu Life, LLC/Renu Life Extended, Inc. Wayne Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

OPC Residential Services, Inc. Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

AC Residential Treatment Services of Alamance, Inc. Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Resolution: Counseling & Development Services Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Meck Resourceful Solutions II, LLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC Restoring Bodies and Minds, LLC Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 18 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC Rex Hospital, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgMeck RHA Behavioral Health NC, LLC Guilford Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgMeck RHA Health Services NC, LLC Buncombe Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgMeck RHA Health Services, Inc. Buncombe Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont Richard Bridgette, PhD Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Richwood Consulting Group, PLLC d/b/a Counseling for Kids and Teens Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Right Choice Services, LLC Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Triad Rising Hope Clinical Assistance, LLC Mecklenburg Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org FC Roanoke Valley Adult Day Center Halifax Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Roanoke Valley Health Services, Inc., dba Halifax Hospitalists Associates Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Roanoke Valley Psychiatric Associates, PA Halifax Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Robert Jordan, LCSW Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

OPC Robeson Health Care Corporation Robeson Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org Triad Robin E. Dock, PhD Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Rochelle Jones, LCSW Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Triad Rockingham County Department of Social Services Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org Triad Rockingham County Youth Services Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Rolanda J. Abney, LCSW Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Rosalind L. Harlee MS, LCAS-A Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Rosemary S. Nelson Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Roslyn Russell, LPC dba Russell's Counseling Services Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Rouse's Group Home II, Inc. Rockingham Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont Rowan Emergency Group, LLC Rowan Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Rowan Psychiatric and Medical Services, PA Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Rowan Regional Medical Center Rowan Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont Rowan Vocational Opportunities, Inc. Rowan Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC RusMed Consultants, LLC Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

OPC Ruth Morgans dba Healing Steps Chatham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Meck Rutherford Hospital Inc. dba Rutherford Regional Medical Center Rutherford Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Piedmont S&H Youth and Adult Services, Inc. Rowan Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC S&L Home Care Services, Inc. Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC S. Shannon Smith, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont S.T.E.P.s Developmental Academy, Inc. Union Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Safe Haven Child and Family Counseling Services Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

AC Safiyyah Feaster, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Saint Peter's University Hospital Out of State Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Salisbury Pediatric Associates, PA Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Salisbury Psychiatric Associates, P.C. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Sampson Regional Medical Center Sampson Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgPiedmont Sandhills Alternative Academy, LLC Richmond Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Sandhills Pediatrics, Inc. Moore Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Sandhills Regional Medical Center Richmond Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

FC Sandra Wickham, CSW, LCSW Chatham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Triad Sara Schneidmiller, Ph.D. dba Rockingham Psychological Services Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Sarah Fishback, LPA Rowan Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Saved Foundation Inc. Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC SBH Raleigh, LLC dba Strategic Behavioral Center- Garner Wake Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPCSBH Wilmington, LLC dba Strategic Behavioral Center (to include SBH Charlotte)

Brunswick Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Scotland Memorial Hospital, Inc. Scotland Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 19 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC Securing Resources for Consumers, Inc. Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Senior Health and Education Partners, PLLC Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Sentara Obici Hospital Out of State Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Serendipity Therapy, PLLC Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Serenity Rehabilitation Services Mecklenburg Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Servant's Heart Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Sevenhill Associates, P.A. Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Shana N. Cauthen, LCSW CSOTS Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

AC Shannon Harty, MSW, LCSW Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Shekita Brown Counseling and Consulting, PLLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Shelby Children's Clinic, PA (PG) Cleveland Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

OPC Sheppard Pratt Health System, Inc. Out of State Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Meck Sherille Barber dba Barber Therapy & Associates Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Piedmont Sherita Crews, PLLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Shevene Bryant, LPC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont SHG Consultants, Inc. Mecklenburg Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Shifting Paradigms Counseling and Consulting, PLLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Meck Shridayal, LLC dba University Adult Care Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

FC Sigma Health Services, LLC Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgPiedmont Sims Consulting and Clinical Services, Inc. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.orgPiedmont Sims Training and Wellness Center, Inc.. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC Sisterly Love, LLC. Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgAC Sixth Street D.D. A. Group Home Alamance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Skill Creations, Inc. Wayne Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Solaz, LLC Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgAC Solutions Community Support Agency, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Solutions for Life Counseling, Life Coaching and Consulting Services, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Meck Solving Autism, LLC. (Alyson G. Shaffer) Out of State Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Sophia B. Pierce and Associates Inc. Cumberland Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Soul Care, PLLC Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck South Point Counseling, LLC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Southeastern Healthcare dba Southeastern Adult Day Center, Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont Southeastern Regional Medical Center Roberson Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Southern Piedmont Community Care Plan, Inc. Cabarrus Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Southlight Healthcare Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck SPARC Services and Programs, LLC Buncombe Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck Special K Enrichment , Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Speech Matters, LLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgPiedmont SPIGNER MANAGEMENT SYSTEMS, INC. dba B J Hill and Associates Cumberland Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

FC Spring Life Behavioral Care, LLC Halifax Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Triad Springwell Network, Inc. Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck St. Luke's Hospital Polk Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

OPCStandards-Based Solutions Behavioral Health Consulting & Management LLC

Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

FC Statewide Mental Health & Disability Services, PLLC Nash Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Step by Step Care, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Stepha'n T. Askew, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

FC Stephen P. Polak, MA, LPC Granville Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC Steps Toward Success, PLLC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Stickney House dba Rockwell Development Center Iredell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 20 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Meck Still Family , LLC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

FC Straight Walk Family Services, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Strategic Interventions, LLC McDowell Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

OPC Structured Family Interventions, LLC Durham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

OPC Successful Solutions, MHS, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC Successful Transitions, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgMeck Sunpath, LLC Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

AC Sunrise Clinical Associates, PLLC Durham Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Sunrise Pointe, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Support, Inc. Gaston LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Piedmont Supported Living Youth, Family, and Children Services, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgTriad Surry-Yadkin Residential Services, Inc. Surry Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

OPC Susanne Kaiser dba Wildknowing Counseling & Consulting Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC Susanne Saunders, LCSW Chatham Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Swain County Hospital Swain Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.orgTriad SYLVANGLADE SERVICES, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont T.L.C.Home Lee Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont T.R.I.N.I.T.Y Homes, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Talya Mazor, LCSW (formerly Talya Mazor dba Triangle Counseling) Orange Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Tamikia Greene, LPC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC Tammy Juntunen, LPA Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

OPC TEACCH Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgMeck Teal Peoples Holistic Counseling & Consultation, PLLC. Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

AC Ted Bissette dba Piedmont Agency Counseling Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Meck Tender Loving Care Homes Inc. dba NC Brookhaven Behavioral Health Buncombe Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Meck Terrence Lamar Lassiter, LPC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.orgFC Terri M. Revelle, LPA North Hampton Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont TGH Behavioral Health Services, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont The ARC of Cabarrus County Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.orgPiedmont The ARC of Davidson County, Inc. Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC The ARC of North Carolina, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont The ARC of Rowan County, Inc. Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

OPC The ARC of the Triangle, Inc. Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont The ARC of Union County, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC The Bair Foundation Wake Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC The Bruson Group, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC The Carter Clinic, PA Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

OPC The Center for Child and Family Health, Inc. Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Triad The Center for Creating Opportunities, LLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck The Center for Creativity and Healing, PC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Triad The Center for Holistic Healing Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

MeckThe Charlotte - Mecklenburg Hospital Authority dba Mercy Horizons Outpatient Services

Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

MeckThe Charlotte - Mecklenburg Hospital Authority dba Mercy Horizons Outpatient Services

Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

MeckThe Charlotte - Mecklenburg Hospital Authority dba NorthEast Psychiatric Services, CHS

Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Triad The Crossnore School, Inc. Avery Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad The Enrichment Center- An Affiliated Chapter of the Arc Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont The Green Center for Growth and Development Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC The HOPE Centre for Advancement, LLC Durham Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgFC The Keywest Center, Inc. Durham Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck The Kid's Workshop, Inc. Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 21 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Piedmont The Mental Health Fund dba Catawba Valley Behavioral Healthcare Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC The Methodist Home for Children, Inc. Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

AC The Mindly Group, PLLC Wake Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad The Neil Group, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

FC The Outer Banks Hospital, Inc. Dare Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont The Phoenix House Residential Treatment Center, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont The Presbyterian Hospital dba Novant Health Huntersville Medical Center Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Piedmont The Presbyterian Hospital dba Novant Health Presbyterian Medical Center Mecklenburg Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck The Promise Group, LLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck The Right Choice MWM, Inc. Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

Piedmont The Right Season, Inc. Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC The Sharpe Road Adult Home Care, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck The Unique Caring Foundation, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

FC The Whitaker PRTF Granville Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.orgPiedmont The Workshop of Davidson, Inc. Davidson Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Therapeutic Alternatives, Inc. Randolph Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Therapeutic Dimensions II, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgFC Therapeutic Family Solutions, PLLC Durham Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Therapeutic Resources Associates, PA Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Meck Therapeutic Services Group, Inc. Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Think Well Counseling, PLLC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.orgPiedmont Thomas K.McKean, MD Catawba Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC Thomas P. Cornwall, MD, PA Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Thomasville Emergency Physicians, LLC Davidson Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Meck Thompson Child & Family Focus Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

FC Thompson Family Care Alamance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Three Rivers Residential Treatment/Midlands Campus, Inc. Out of State PRTF Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org Meck Thrive Counseling Services, PLLC Mecklenburg Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.orgOPC Thursher Goodman Winstead Carehome Person Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Tiffany L. Harris Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org Piedmont Timber Ridge Treatment Center Rowan Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

PiedmontTimeka Southerland, LPC, CSOTS, dba Southerland Treatment and Rehabilitation (STAR Counseling Services)

Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Timeless Solutions Counseling Services, PLLC Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

Triad Timothy Pittman Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Timothy Smithers Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

Piedmont Toni J Adcock Union Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

OPC Tonya D. Armstrong, PLLC dba The Armstrong Center for Hope Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC Tonya Omar, PLLC dba The Aya Center Durham Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Top Priority Care Services, LLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Torie Hoey, PMHNP-BC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

OPC Touchstone Residential Services Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Towergate Youth and Family Services Cabarrus Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Meck Traci Withrow dba Mandala Counseling Services Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

Meck Transformative Life Center, LLC Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

OPC Transitions Behavioral Healthcare, Inc. Pitt Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

AC Transitions Mentoring Services, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck Travis Bobb Gaston Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck Travis Swindell Andrews, LPC Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 22 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

Piedmont Treatment Centers, LLC dba Rowan Treatment Center Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Triad Triad Coordinated Services, Inc. Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org AC Triad Health Care 1 Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.orgAC Triad Healthcare 2 Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

AC Triad Medical Group PA Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Triad Triad Psychiatric and Counseling Center, PA Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Triad Telecare, Inc. Randolph Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad TRIAD THERAPY MENTAL HEALTH CENTER, LLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Triangle Comprehensive Health Services, Inc. Wayne Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

FC Triangle Neuropsychiatry, PLLC. Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Triangle Primary Care Associates, PLLC Franklin Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Piedmont TriCare Counseling & Consulting, Inc. Harnett Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

AC Trinity Behavioral Healthcare PC (f/k/a Simrun Health Services, Inc.) Alamance Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Triad Trinity Christian Counseling, PLLC-Tonya Moore Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad Trinity House, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Piedmont Trinity Wellness & Community Care, LLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

AC True Living Counseling Services, PLLC Orange Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

FC Turning Point Family Care, PLLC Durham Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Piedmont Turning Point Homes, Inc. Iredell Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Turning Point Services, Inc. Burke Simona Kelly 704.785.5609 Simona.Kelly@cardinalinnovations.org

FC Twin County Regional Healthcare, Inc. Out of State Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.orgFC Two Paths Crossing, LLC Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Ty Kays, LPC Mecklenburg Rachel Hartman 704.785.7101 Rachel.Hartman@cardinalinnovations.org

Meck UHS of Greenville, Inc. dba The Carolina Center for Behavioral Health Out of State Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Meck UMAR Services, Inc. Mecklenburg LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

OPC UNC Faculty Physicians & UNC Hospitals Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC UNC Hospital at Chapel Hill Orange Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Union County Public Schools Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Piedmont Union County Residential Services Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgPiedmont Union Diversified Industries Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.orgPiedmont Union Family Services, PLLC Union Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Meck Unique Caring Network Mecklenburg Miguel Sabillon 980.475.9039 Miguel.Sabillon@cardinalinnovations.org

AC United Living, LLC Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

AC United Quest Care Services, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Meck United Support Services, Inc. Mecklenburg Thaddeus Dowson 704.783.6331 Thaddeus.Dowson@cardinalinnovations.org

Piedmont Universal Mental Health Services, Inc. Caldwell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

FC Uplift Comprehensive Services, Inc. Bertie Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Ureh Lekwauwa, MD Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Meck Valdese General Hospital Burke LaKisha Pierre-Louis 704.305.5966 Lakisha.Pierre-Louis@cardinalinnovations.org

FC Valiant Families, PC Nash Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Valley Center for Life Enrichment Halifax Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Vance Recovery, PC Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgPiedmont Veleka Y. Barbee Therapy Services, Inc. Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Victor M. Rosado, MD, PA Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Vidant Memorial Hospital dba Pitt County Memorial Hospital, Inc. Pitt Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

FC Vidant Roanoke Chowan Hospital Hertford Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Village Behavioral Health, LLC dba The Village out of state- Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Piedmont Vince Marley, LLC. dba Ethel's Footprints Randolph Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

FC Vision Behavioral Health Services, LLC Franklin Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 23 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

OPC Visions Counseling Studio, PLLC Durham Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

OPC VOCA Corporation of North Carolina dba Community Alternatives of NC Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Piedmont Vocational Rehabilitation-Cabarrus, Davidson, Rowan, Stanly, Union Cabarrus, Davidson, Rowan, Stanly, Union

Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Triad Voice for Children and Nurturing Families, PLLC Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

OPC Wake Emergency Physicians, PA Wake Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.orgFC Wake Enterprises, Inc. Wake Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Wake Forest Counseling Associates, PLLC Wake Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Wake Forest University Health Sciences Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

OPC WakeMed Wake Tawanda Lewis 919.357.5564 Tawanda.Lewis@cardinalinnovations.org

Meck Walkers Group Home, Inc. Buncombe Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

FC Walter B. Jones, ADATC Pitt Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Wanda Burger, LPC, LCAS Henderson Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

FC Warren County Senior Center Warren Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

AC Waterway Emergency Physicians Pasquotank Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.orgAC Watson's Group Home, LLC Guilford Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

OPC Wayne Dankner Orange Paula Newman 919.904.0522 Paula.Newman@cardinalinnovations.org

FC Wayne Memorial Hospital Wayne Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

FC Waynesboro Family Clinic, P.A. Wayne Mandy Padgett 252.820.9854 Mandy.Padgett@cardinalinnovations.org

Meck Wee Care Christion Child Development Center, LLC Mecklenburg Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont Wendie S. Lloyd, LPC dba Lake Norman Counseling Services, PLLC Iredell Tracy Martins 704.301.5984 Tracy.Martins@cardinalinnovations.org

Triad Wescare Professional Services, LLC Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Piedmont West Counseling, PLLC. Cabarrus Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC West Hillcrest DDA Group Home Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Western Carolina Emergency Physicians, PLLC Stanly Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Meck Western North Carolina Group Home for Autistic Persons, Inc. Buncombe Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

Piedmont What Matters Most, Inc. Cabarrus Chuckey Aiken 704.305.4821 Chuckey.Aiken@cardinalinnovations.org

Triad Wilkes Regional Medical Center Wilkes Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Meck Willowglen Academy - South Carolina, Inc. Out of State PRTF Ursula Cornwell 704.785.7521 Ursula.Cornwell@cardinalinnovations.org

FC Wilson Medical Center Wilson Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Meck Wilson Professional Counseling, PLLC Mecklenburg Rebecca Harris 704.213.1293 Rebecca.Harris@cardinalinnovations.org

Triad Wilson's Constant Care, LLC Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Winston Clinical Associates Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad Winston Psychiatric Associates, PA Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad Wolfe & Jackson Group Home, Inc. Forsyth Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org FC Women, Children and Family Counseling Service, PLLC Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.orgFC Woodhull Medical and Mental Health Center Out of State Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Triad Yadkin Valley Community Hospital Yadkin Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org FC Yelverton’s Enrichment Services, Inc. Wake Pat Glatt 252.820.9850 Patricia.Glatt@cardinalinnovations.org

Piedmont Youth and Family Centered Services of New Mexico, Inc. dba Desert Hills Bernalillo Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

AC Youth Builders, LLC Alamance Joy Foster 336.514.7444 Joynettia.Foster@cardinalinnovations.org

Piedmont Youth Care, LLC Rowan Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

AC Youth Enrichment Group Home, Inc. Guilford Ron Aldridge 336.514.7419 Ron.Aldridge@cardinalinnovations.org

Piedmont Youth Enrichment Services of LKN, Inc. Iredell Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

Triad Youth Focus, Inc. Guilford Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org

Triad Youth Haven Services, LLC Rockingham Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org Piedmont Youth Unlimited Davidson Angela Gill-Graham 704.305.4871 Angela.Gill-Graham@cardinalinnovations.org

Piedmont Youth Villages, Inc.Out of state corporate office

Pam Hair 704.305.2097 Pam.Hair@cardinalinnovations.org

3/27/2018

Please note that QMS assignments are subject to change. Page 24 of 24

Community Office

Agency/ Licensed Independent Practitioner County QM Staff Phone Email

FC Youthful Solutions, Inc. Vance Virginia Hughes 252.820.9735 Virginia.Hughes@cardinalinnovations.org

Triad Zephaniah Services, PLLC Guilford Karen Dingwall 336.403.4583 Karen.Dingwall@cardinalinnovations.org

Triad ZOE: Behavior Health Services, Inc. Forsyth Amy Berrier 336.608.8300 Amy.Berrier@cardinalinnovations.org