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Attachment A2 - I-BHS Facility application form OMB No. 0930-xxxx Expiration date xx/xx/xxxx See OMB burden statement on last page. Mental health treatment facilities administered by the Department of Veterans Affairs. Private for-profit and non-profit mental health facilities that are licensed by the State or accredited by a national accreditation organization. The facility has licensure/accreditation/approval to provide substance abuse treatment from the State substance abuse agency or a...
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