Rate Table of Government Rates for OMH Outpatient Services

Updated Date: 5/17/2022

• Rates also available in the following formats: (XLSX) - (PDF)

Prov Doing Business As Name	Prov ID	Locator Cd	NPI	Zip + 4	Rate Beg Dt	Rate End Dt	Service Type	Rate Cd	Rate Descr	Rate Amt	NPI Name	Prov Addr Str	Prov Addr Line 2	Prov Addr City	Prov Addr St	Postal Cd
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
GODDARD RIVERSIDE COMMUNITY CTR	02995733	004	1457444234	10030-1807	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	GODDARD RIVERSIDE COMMUNITY CENTER	140 W 140TH ST		NEW YORK	NY	10030
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
BUFFALO PSYCHIATRIC CENTER ACT TEAM	02950883	003	1043480585	14213-1207	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	BUFFALO PSYCHIATRIC CENTER ACT TEAM	400 FOREST AVE	GERTRUDE BUTLER REHAB BLDG	BUFFALO	NY	14213
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
GUIDANCE CENTER OF WESTCHESTER INC	00565848	038	1861506974	10553-1052	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	THE GUIDANCE CENTER OF WESTCHESTER, INC	256 WASHINGTON ST		MOUNT VERNON	NY	10553
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
PARSONS CHILD AND FAMILY CENTER	05520287	003	1356819221	12804-3012	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CENTER	05520287	003	1356819221	12804-3012	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
ELMIRA PSYCHIATRIC CENTER	02366365	004	1730246943	14901-2898	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	ELMIRA PSYCHIATRIC CENTER	100 WASHINGTON ST		ELMIRA	NY	14901
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	004	1528059805	10027-4589	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 WEST ST 125TH		NEW YORK	NY	10027
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
MOHAWK OPPORTUNITIES MH INC	02998290	010	1982820213	12305-2169	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	MOHAWK OPPORTUNITIES, INC.	650 FRANKLIN ST		SCHENECTADY	NY	12305
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
SAMARITAN VILLAGE INC	00245309	019	1396822839	11206-6603	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SAMARITAN DAYTOP VILLAGE, INC.	988 MYRTLE AVE		BROOKLYN	NY	11206
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
VISITING NURSE SERVICE/NY HM CARE	02996041	019	1528059805	10027-4589	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	148 W 125TH ST FL 4		NEW YORK	NY	10027
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	018	1497967129	14213-2007	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
HOPE FOR YOUTH, INC	01781144	006	1316904519	11706-8734	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	HOPE FOR YOUTH, INC.	22 SHORE LN		BAY SHORE	NY	11706
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
UNITY HOSPITAL ROCHESTER	00378721	029	1336366822	14608-1410	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	THE UNITY HOSPITAL OF ROCHESTER	81 LAKE AVE		ROCHESTER	NY	14608
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
MENTAL HEALTH SERV SE CORP V	02369524	003	1497935092	14209-1912	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1280 MAIN ST LOWER LEVEL		BUFFALO	NY	14209
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
PARSONS CHILD AND FAMILY CTR	02998034	054	1922171305	12804-3012	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	PARSONS CHILD AND FAMILY CENTER	375 BAY RD STE 204		QUEENSBURY	NY	12804
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MANAGEMENT SERVICES I	05266459	003	1538657259	13204-2463	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W STE 302		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
ONONDAGA CASE MGMT SVCS MH	02994838	004	1235184235	13204-2445	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	ONONDAGA CASE MANAGEMENT SERVICES INC.	620 ERIE BLVD W		SYRACUSE	NY	13204
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
LAKE SHORE BEHAVIORAL HLTH IN	03005290	023	1497967129	14063-1412	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	BESTSELF BEHAVIORAL HEALTH, INC.	264 E MAIN ST		FREDONIA	NY	14063
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
ELMIRA PSYCHIATRIC CENTER	02366365	005	1730246943	14850-3458	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	ELMIRA PSYCHIATRIC CENTER	313 3RD ST		ITHACA	NY	14850
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
LAKE SHORE BEHAVIORAL HLTH IN	03005290	019	1497967129	14213-2007	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	BESTSELF BEHAVIORAL HEALTH, INC.	1050 NIAGARA ST	ACT PROGRAM	BUFFALO	NY	14213
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
ELMIRA PSYCHIATRIC CENTER	02366365	003	1730246943	14456-2417	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	ELMIRA PSYCHIATRIC CENTER	24 TILLMAN ST # A		GENEVA	NY	14456
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
STRONG MEMORIAL HOSPITAL	00279034	027	1346285657	14623-2327	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	UNIVERSITY OF ROCHESTER	2613 W HENRIETTA RD		ROCHESTER	NY	14623
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
UNITED HELPERS INC/DBA MOSAIC	01312743	004	1578559159	13669-1707	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	UNITED HELPERS CARE INC	221 HAMILTON ST		OGDENSBURG	NY	13669
ALBANY COUNTY DEPT OF MENTAL HEALTH	02359837	003	1609935642	12202-2011	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	ALBANY COUNTY MENTAL HEALTH	175 GREEN ST FL 2		ALBANY	NY	12202
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	004	1710105200	11432-1121	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	# 6581471A/ACT	8268 164TH ST	JAMAICA	NY	11432
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
MOHAWK VALLEY PC	02369648	003	1346307568	13502-3854	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	MOHAWK VALLEY PSYCHIATRIC CENTER	1400 NOYES ST BLDG 63		UTICA	NY	13502
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
ST MARYS HEALTHCARE	03001310	029	1811977796	12010-1005	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	ST. MARY'S HEALTHCARE	446B GUY PARK AVE		AMSTERDAM	NY	12010
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
OSWEGO HOSPITAL	02997771	004	1871678458	13114-0904	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	OSWEGO HOSPITAL	5856 SCENIC AVE PO BOX 904		MEXICO	NY	13114
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.99	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1737.31	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2065.66	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	005	1497935092	14305-2522	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1824.47	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	800 MAIN ST STE 4C		NIAGARA FALLS	NY	14305
MENTAL HEALTH SERV SE CORP V	02369524	006	1497935092	14760-2552	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V	1 BLUEBIRD SQ		OLEAN	NY	14760
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
WELLLIFE NETWORK INC	01304109	017	1508012816	10461-3585	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WELLLIFE NETWORK INC	2510 WESTCHESTER AVE FL 1		BRONX	NY	10461
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
NYCHHC QUEENS HOSP CTR ACT	02997024	005	1710105200	11432-1121	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	T BLDG FL 5	JAMAICA	NY	11432
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CREEDMOOR PC ACT	02610819	003	1730243635	11427-2128	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CREEDMOOR PSYCHIATRIC CENTER	79-25 WINCHESTER BLVD BLDG 40		QUEENS VILLAGE	NY	11427
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
CATHOLIC CHARITIES BROOME COUNTY	01324592	010	1548306020	13905-2610	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	CATHOLIC CHARITIES OF BROOME COUNTY	290 FRONT ST 7013478A/ACT		BINGHAMTON	NY	13905
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.49	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
WELLLIFE NETWORK INC	01304109	021	1508012816	11743-4436	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	55 HORIZON DR		HUNTINGTON	NY	11743
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1960.00	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.00	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.10	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2016.07	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
MENTAL HEALTH ASSOCIATION OF NYC IN	03421029	004	1013230374	10458-5209	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2117.21	THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.	2488 GRAND CONCOURSE STE 301		BRONX	NY	10458
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
WELLLIFE NETWORK INC	01304109	020	1508012816	11787-3754	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WELLLIFE NETWORK INC	11 ROUTE 111		SMITHTOWN	NY	11787
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
PILGRIM PSYCHIATRIC CENTER	02369657	003	1396809208	11772-4111	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	PILGRIM PSYCHIATRIC CENTER	3 GROVE AVE		PATCHOGUE	NY	11772
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
NYCHHC ELMHURST HOSP CENTER ACT	02920785	003	1396932380	11373-1147	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NYC HEALTH AND HOSPITALS CORPORATION	78-07 41ST AVE		ELMHURST	NY	11373
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
CENTER FOR URBAN COMM SVCES	02993837	004	1053408211	10459-1504	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR URBAN COMMUNITY SERVICES	1307 SOUTHERN BLVD		BRONX	NY	10459
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
WELLLIFE NETWORK INC	01304109	016	1508012816	11225-2009	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WELLLIFE NETWORK INC	1669 BEDFORD AVE		BROOKLYN	NY	11225
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
MENTAL HLTH ASSOC WESTCHESTER	02998103	006	1942306873	10523-3832	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC.	2269 SAW MILL RIVER RD # 6313477A/ACT		ELMSFORD	NY	10523
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	014	1881816643	10035-2259	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
WELLLIFE NETWORK INC	01304109	014	1508012816	11428-1548	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WELLLIFE NETWORK INC	209-03 JAMAICA AVE		QUEENS VILLAGE	NY	11428
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	007	1922165117	10027-4990	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	004	1063535193	10029-7404	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE 8S		NEW YORK	NY	10029
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	004	1528093242	11901-2706	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FAMILY SERVICE LEAGUE, INC.	208 ROANOKE AVE		RIVERHEAD	NY	11901
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007825	006	1942419197	11542-3438	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	01321535	006	1144438078	11542-3438	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007807	006	1548478464	11542-3438	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	006	1922165117	10027-4990	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	005	1922165117	10027-4990	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
CENTER FOR ALT SENTENCING	02998016	004	1922165117	10027-4990	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	2090 7TH AVE FL 4		NEW YORK	NY	10027
NYCHHC METROPOLITAN HOSPITAL CTR	02993873	005	1063535193	10029-7404	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1901 1ST AVE FL 8		NEW YORK	NY	10029
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	013	1881816643	10035-2259	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 3		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
SERVICES FOR THE UNDERSERVED	01304338	015	1881816643	10035-2258	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	186 E 123RD ST FL 4		NEW YORK	NY	10035
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
ANGELO J MELILLO CTR FOR MH	03007816	006	1790996676	11542-3438	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MELILLO CENTER FOR MENTAL HEALTH	113 GLEN COVE AVE # 6804471A/ACT		GLEN COVE	NY	11542
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	008	1205083672	11207-2412	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
NYCHHC WOODHULL MED & MH CTR ACT	02994883	004	1245458926	11206-5317	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	760 BROADWAY FL 5		BROOKLYN	NY	11206
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
NYCHHC N CENTRAL BRONX HOSPITAL ACT	02995628	004	1427278274	10461-1119	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITAL CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8	C/O JACOBI MEDICAL CENTER	BRONX	NY	10461
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
BETH ISRAEL MEDICAL CENTER	02994489	003	1174689665	10003-3851	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	BETH ISRAEL MEDICAL CENTER	10 NATHAN D PERLMAN PL	10 BERNSTEIN PAVILLION	NEW YORK	NY	10003
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	014	1205083672	11207-2412	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
VISITING NURSE SERVICE/NY HM CARE	02996041	005	1528059805	11691-4000	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1600 CENTRAL AVE		FAR ROCKAWAY	NY	11691
NYCHHC JACOBI MEDICAL CTR ACT	02996523	004	1609996396	10461-1119	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	1400 PELHAM PKWY S BLDG 4 FL 8		NEW YORK	NY	10461
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2016.07	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2117.21	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	023	1528059805	11229-1193	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1630 E 15TH ST FL 2		BROOKLYN	NY	11229
VISITING NURSE SERVICE/NY HM CARE	02996041	023	1528059805	11229-1193	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	1630 E 15TH ST FL 2		BROOKLYN	NY	11229
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	007	1205083672	11207-2412	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVENUE		BROOKLYN	NY	11207
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
SOUTH SHORE ASOC IND LIV INC	02994503	010	1174733539	11520-3035	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SOUTH SHORE ASOCIATION FOR INDEPENDENT LIVING, INC.	55 N OCEAN AVE		FREEPORT	NY	11520
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
INSTITUTE FOR COMM LIVING	01305004	011	1205083672	11207-2412	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	2581 ATLANTIC AVE		BROOKLYN	NY	11207
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.49	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1960.00	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.00	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.10	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2016.07	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2117.21	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID & CNSL	02911044	003	1558550798	11803-2304	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.11	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
NEW HORIZON COUNSELING CTR	00688220	019	1366430563	11693-1609	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW HORIZON COUNSELING CENTER INC	88-02 ROCKAWAY BEACH BLVD STE 2A		ROCKAWAY BEACH	NY	11693
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
VISITING NURSE SERVICE/NY HM CARE	02996041	013	1528059805	10455-3909	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	VISITING NURSE SERVICE OF NEW YORK HOME CARE II	355 E 149TH ST FL 6		BRONX	NY	10455
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2397.49	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1960.00	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.00	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
CENTRAL NASSAU GUID&CNSL SVC	01303520	008	1740329531	11803-2304	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1996.10	CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.	55 W AMES CT STE 100		PLAINVIEW	NY	11803
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007738	007	1346433307	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007701	007	1073706032	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
ROCKLAND PC ACT	02718674	004	1649334566	12601-1078	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	ROCKLAND PSYCHIATRIC CENTER	10 ROSS CIRCLE		POUGHKEEPSIE	NY	12601
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
CHARLES EVANS CENTER INC	05949344	003	1487213880	11542-3438	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CHARLES EVANS CENTER, INC.	113 GLEN COVE AVE		GLEN COVE	NY	11542
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	01303882	007	1023177755	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
SOUTH BEACH PC	02375859	004	1922165158	11214-3702	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SOUTH BEACH PSYCHIATRIC CENTER	8620 18TH AVE FL 1		BROOKLYN	NY	11214
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007729	006	1184783821	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007756	007	1790844439	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007747	007	1740355783	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007710	007	1083789028	11704-6545	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
FEDERATION NYS MENTALLY DISAB	03007729	007	1184783821	11704-6545	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	11 FARMINGDALE RD/ROUTE 109		WEST BABYLON	NY	11704
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	01303882	006	1023177755	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007747	006	1740355783	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
ST JOSEPHS MEDICAL CENTER ACT	03283176	003	1932419306	10528-1524	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ST.VINCENT'S HOSPITAL WESTCHESTER	275 NORTH ST		HARRISON	NY	10528
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007756	006	1790844439	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
PEDERSON KRAG CENTER INC	02993575	008	1013964170	11743-4436	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	PEDERSON-KRAG CENTER INC	55 HORIZON DR		HUNTINGTON	NY	11743
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007710	006	1083789028	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007738	006	1346433307	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
FEDERATION NYS MENTALLY DISAB	03007701	006	1073706032	11416-2704	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	105-01 101ST AVE		OZONE PARK	NY	11416
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
POSTGRADUATE CTR MENTAL HLTH	02997377	009	1801945365	10455-3907	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	POSTGRADUATE CENTER FOR MENTAL HEALTH	391 E 149TH ST FL 4		BRONX	NY	10455
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
MONTEFIORE MOUNT VERNON HOSPITAL	00274117	011	1992131320	10550-3004	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MONTEFIORE MOUNT VERNON HOSPITAL	3 S 6TH AVE FL 2		MOUNT VERNON	NY	10550
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
COMMUNITY ACCESS INC	01303355	010	1700085719	10456-6943	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	COMMUNITY ACCESS, INC.	3251 THIRD AVE FL 2		BRONX	NY	10456
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
POSTGRADUATE CTR MENTAL HLTH	02997377	007	1801945365	11232-1180	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	POSTGRADUATE CENTER FOR MENTAL HEALTH	164 20TH ST FL 4		BROOKLYN	NY	11232
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
WESTCHESTER CO HLTHCARE CORP	02369473	003	1528292596	10595-1652	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	WESTCHESTER COUNTY HEALTHCARE CORP	100 WOODS RD		VALHALLA	NY	10595
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
FEDERATION OF ORGANIZATIONS FOR THE	05060586	003	1609383389	11763-1442	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NEW YORK STATE MENTALLY DISABLED	3390 ROUTE 112 BLDG B		MEDFORD	NY	11763
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	008	1922165117	11201-5240	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1688.00	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.00	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1719.09	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
MNTL HLTH ASSOC ULSTER CO MH	02997313	011	1780882373	12401-2964	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	MHA IN ULSTER COUNTY, INC.	340 AARON COURT		KINGSTON	NY	12401
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1689.00	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.00	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1720.11	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1736.29	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1823.40	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.45	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
ROCKLAND PC ACT	02718674	003	1649334566	10940-1912	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2064.78	ROCKLAND PSYCHIATRIC CENTER	45 ASHLEY AVE D WING	SCHMITZ BLDG	MIDDLETOWN	NY	10940
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
NYCHHC BELLEVUE HOSPITAL CENTER ACT	02995944	004	1508985052	10016-9196	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	462 FIRST AVE C&D BUILDING 2FL		NEW YORK	NY	10016
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
INSTITUTE FOR COMM LIVING	01305004	013	1205083672	11201-1954	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	25 CHAPEL ST FL 9		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
CENTER FOR ALT SENTENCING	02998016	009	1922165117	11201-5240	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	CENTER FOR ALTERNATIVE SENTENCING AND EMPLOYMENT SERVICES	151 LAWRENCE ST FL 4		BROOKLYN	NY	11201
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	004	1508244971	11223-2341	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	1007 QUENTIN RD		BROOKLYN	NY	11223
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	018	1831269315	10455-3715	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
ST JOSEPHS MEDICAL CENTER	04238886	003	1326434515	10305-3169	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ST.VINCENT'S HOSPITAL WESTCHESTER	1216 BAY ST		STATEN ISLAND	NY	10305
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
SOUTH BEACH PC	02375859	003	1922165158	10305-3409	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SOUTH BEACH PSYCHIATRIC CENTER	777 SEAVIEW AVE BLDG 11 FL 2		STATEN ISLAND	NY	10305
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	017	1831269315	10455-3715	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
INSTITUTE FOR COMM LIVING	01305004	015	1205083672	10454-4414	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	ICL ACT TEAM CENTRAL BROOKLYN	14 BRUCKNER BLVD		BRONX	NY	10454
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
BRONX PC ACT	02555553	003	1700943917	10467-8124	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
BRONX PC ACT	02555553	003	1700943917	10467-8124	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	BRONX PSYCHIATRIC CENTER	3050 WHITE PLAINS RD FL 2		BRONX	NY	10467
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	016	1831269315	10455-3715	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
NYC-HHC EAST NEW YORK FAMILY CC ACT	02995980	004	1518187368	11207-3509	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2094 PITKIN AVE		BROOKLYN	NY	11207
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION NYS MENTALLY DISAB	01303882	010	1023177755	11418-1748	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	050	1528093242	11722-3619	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	050	1528093242	11722-3619	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
THE BRIDGE, INC	02997620	020	1831269315	10027-4502	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	72 W 125TH ST LOWER LEVEL		NEW YORK	NY	10027
THE BRIDGE, INC	02997620	020	1831269315	10027-4502	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	72 W 125TH ST LOWER LEVEL		NEW YORK	NY	10027
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	004	1114133477	11235-7745	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
NYCHHC CONEY ISLAND HOSPITAL	02994118	005	1114133477	11235-7745	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	2601 OCEAN PKWY # 6602477A/ACT		BROOKLYN	NY	11235
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
JEWISH BOARD OF FAMILY & CHILDRENS	04279723	003	1508244971	11722-3619	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES	320 CARLETON AVE FL 8		CENTRAL ISLIP	NY	11722
THE BRIDGE, INC	02997620	021	1831269315	10455-3715	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
THE BRIDGE, INC	02997620	021	1831269315	10455-3715	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	560 SOUTHERN BLVD		BRONX	NY	10455
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	009	1881816643	11233-3163	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
FAMILY SVC LEAGUE SUFFOLK CTY	02996069	026	1528093242	11722-4506	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	FAMILY SERVICE LEAGUE, INC.	320 CARLETON AVE		CENTRAL ISLIP	NY	11722
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
FEDERATION OF ORGANIZATIONS FOR THE	04647412	003	1013363092	11418-1748	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	FEDERATION OF ORGANIZATION FOR THE NEW YORK STATE MENTALLY DISABLED, I	116-06 MYRTLE AVE		RICHMOND HILL	NY	11418
THE BRIDGE, INC	02997620	019	1831269315	10027-4502	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	THE BRIDGE, INC.	72 W 125TH ST LOWER LEVEL		NEW YORK	NY	10027
THE BRIDGE, INC	02997620	019	1831269315	10027-4502	4/1/2020	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	THE BRIDGE, INC.	72 W 125TH ST LOWER LEVEL		NEW YORK	NY	10027
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	1/1/2021	3/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	4/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1919.38	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
POSTGRADUATE CTR MENTAL HLTH	02997377	008	1801945365	11432-4901	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	POSTGRADUATE CENTER FOR MENTAL HEALTH	163-18 JAMAICA AVE		JAMAICA	NY	11432
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	012	1881816643	11233-3163	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	1/1/2020	3/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1866.00	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
PEDERSON KRAG CENTER INC	02993575	007	1013964170	11787-3712	4/1/2022	12/31/9999	ACT	4508	ACT INTENSIVE FULL PAYMENT	2015.67	PEDERSON-KRAG CENTER INC	11 ROUTE 111		SMITHTOWN	NY	11787
THE BRIDGE, INC	02997620	012	1831269315	10029-2866	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	THE BRIDGE, INC.	1795 LEXINGTON AVE		NEW YORK	NY	10029
THE BRIDGE, INC	02997620	012	1831269315	10029-2866	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	THE BRIDGE, INC.	1795 LEXINGTON AVE		NEW YORK	NY	10029
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	12/31/2021	12/31/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
MENTAL HLTH ASSO ROCKLAND INC	02995191	009	1326105446	10989-5906	1/1/2022	3/31/2022	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.51	MENTAL HEALTH ASSOCIATION OF ROCKLAND COUNTY, INC.	140 RTE 303 # 7196485A/ACT		VALLEY COTTAGE	NY	10989
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	4/1/2020	12/31/2020	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.00	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	1/1/2021	10/6/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	1900.37	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY	11233
SERVICES FOR THE UNDERSERVED	01304338	016	1881816643	11233-3163	10/7/2021	12/30/2021	ACT	4508	ACT INTENSIVE FULL PAYMENT	2282.14	SERVICES FOR THE UNDERSERVED - MENTAL HEALTH PROGRAMS INC	2010 ATLANTIC AVE		BROOKLYN	NY