Community Resource Submission

Add Your Organization / Service

Please complete the form below. If you have any questions or need to make a change to a current listing, please email us at communications@acendahealth.org.

Name of Organization *

Point of Contact *

First

Last

Point of Contact Email *

Address *

City *

State *

Zip Code *

Phone *

Website *

Fax Number *

Organization Type *Faith Based OrganizationFor-profitNon-profitPublic/Gov

Ages of Clients Served *

Hours of Operation *

Types of Services Provided *

• Counseling/Therapy
• Education
• Food
• Hotline
• Housing
• Medical
• Parenting Support
• Recovery
• Screening
• Social Services
• Transportation
• Other

Check all that apply

Counties Served *

Do clients have to pay for services *

• Yes
• No
• Sometimes

Please Specify a fee structure *

• Grant
• All Types
• NJ Family Plan
• Medicaid
• Medicare
• Private Insurance
• Private Pay

Check all that apply

Types of Clients Served *

• Families
• Children (0-17
• Adolescent (13-17)
• Young Adults (18-21)
• Men
• Women
• Older Adults
• All

Additional Information

Submit