In Balance

Staff Team

In Balance was founded in 1996 by Patrick and Betsy Barrasso, who still own and operate all of In Balance's programs. We opened In Balance Transitional Living in 2006 and have been thriving ever since. In Balance's Young Adult Services are ran by Tiffany Gallego and Daniel Barrasso. When people ask us, what makes our program different the answer is undoubtedly the people. From the Barrasso Family all the way to the overnight staff, we are a community and we are all invested. All of our life coaches are in their own recovery and they work here because the want to give back what they were given: a life free of drugs and alcohol and full of relationships, self confidence, success and happiness. Many of our staff are alumni which gives them the unique experience of having gone through this process already and the ability to relate with our current campus. Take a look at some of our staff below.


Daniel Barrasso, MSW

Program/Outreach Director | | 520.370.5333

Daniel Barrasso joins In Balance with a Bachelor's in Psychology from the University of Arizona and a Master of Social Work degree through Arizona State University. He comes to the team with plenty of relevant life and work experience. He previously worked at In Balance during its early stages, for 6 years, as a life coach at In Balance Ranch Academy, a group facilitator at In Balance Intensive Outpatient and as a life coach for In Balance Transitional Living. He decided to take a three year hiatus in which he worked for a nationally recognized leader in adult residential treatment, where he proved to be a vital member of their team. After becoming lead of their Intake department and garnering extensive professional experience he has chosen to come back to In Balance to further his career. Daniel is responsible for outreach and admissions for Transitional Living and for In Balance Sober Living. He also is the recreational counselor responsible for fun activities on Saturdays.

"I am extremely excited about my return to In Balance. I grew up with an intense passion to help others, whether that meant volunteering at the Children's Hospital, staying overnight at a homeless shelter every Thanksgiving or helping a stranger on the side of the road. I've always known that I wanted to make a significant impact on young peoples' lives specifically; I just didn't know how I wanted to do it. I started off my college career looking to get a degree in education, become a teacher and have the ability to make a positive change in my students. My career path took an unexpected turn when I was asked to come work at In Balance one summer 6 years ago. From the second I came into contact with the population we serve and the dream that is In Balance I absolutely, positively knew that I could not see myself doing anything other than this. I believe full heartedly in the vision of In Balance and am thrilled to be part of the team again."

Tiffany Gallego, MSW

Program Director/Director of Clinical Services | | 520.909.7019

Tiffany Gallego is the program director and a therapist at In Balance Living. She carries a small case load, oversees the operations of In Balance Living, supervises the staff and residents and monitors all admissions. Tiffany started at the In Balance Intensive Outpatient Program in 1997. From there she helped with the planning and opening of In Balance Ranch Academy in 2002, serving as a milieu manager and primary therapist at the ranch. She received her Bachelor's in Special Education from the University of Arizona and Master's in Social Work from Arizona State University.

In 2006, Tiffany helped to develop the In Balance Transitional Living program. Tiffany and Patrick Barrasso, owner of In Balance, realized how difficult it was for young adults coming out of treatment to be thrown back into the same environment that got them into treatment in the first place. Often they would stumble in their recovery. It was Tiffany and Patrick's belief that this stumble was unnecessary. Transitional Living was the answer; it would provide a safe and recovery living environment that would allow residents to acclimate back into society at a manageable pace. They would be introduced to young people in recovery in the Tucson area, helping them to realize that their community of support goes far beyond anything they first realized. They could enroll in college classes, find a sponsor that would become essential to their growth, learn how to attain, maintain and succeed at a job. These individuals will achieve success and will take these accomplishments with them as they continue off on their life path.

Shannon Petrovich, LCSW, LISAC

Clinical Director

Shannon has specialized in working with youth and families for over twenty-four years. Her experiences include developing and directing a long-term residential rehabilitation program; being the Clinical Coordinator for a day school for emotionally and behaviorally disordered youth; and over eight years in private practice. In addition, she brings a lifelong love of horses and fifteen years of training and experience in equine assisted psychotherapy. She left her busy practice in Tucson for this opportunity to weave together all of the best practices of residential, individual, group, and family therapy, equine experiential therapy, and 12-step work in our beautiful ranch setting. She is now serving as our Clincal Director at our Tranisitional Living and Collegiate Living programs. 

"My parents were both very committed to their work and specifically to improving the lives of others; they have always inspired me to have a positive impact on some small part of the world. I have focused on working with teens with substance abuse issues because my teen years were derailed by addictions, and I often felt I had to find my own way through the mess and confusion I created. During graduate school, and the twenty years since then, I’ve sought to learn and grow in my own recovery, develop a knowledge base, the skills, and the communication strategies, as well as a myriad of experiential methods, to help heal and transform the lives of youth and their families." 

"I met Reed Smith, (the consultant Patrick hired to help develop the Academy) while volunteering at an equine therapy retreat for children with cancer. Reed told me about the development of the Academy and introduced me to Patrick and the management team. The camaraderie, the similarity of vision, values, and the ease with which we talked, convinced me this was the opportunity of a lifetime and the culmination of my life’s work. " 

"Being many years in my own recovery and a strong believer in 12-step fellowship, I can show rather than simply tell students that life in recovery is great! They know I’ve been where they are and can show them how to create a happier, healthier life for themselves. They often say that I challenge them to dig deeper, and that although this can be frustrating at times, they learn a lot about themselves. They discover the old beliefs and choices that get in their way, and they strengthen the best aspects of themselves, so that gradually they begin to believe and experience that they can succeed in anything they strive to do. "

David Lavin, MS, NCC, LAC, LPC

Primary Therapist

David Lavin has a Bachelor of Science degree in Psychology from Fordham University, and a Master’s in Mental Health Counseling from Pace University. He is a Nationally Certified Counselor (NCC) is a Licensed Addiction Counselor (LAC) and is a Licensed Professional Counselor (LPC). David has over 12,000 hours of practical working experience in the helping field. In addition, he has a degree in Chemical Dependency Counseling.
David’s work experience includes the following settings in NY, MT, CT and CO; acute detox, outpatient, inpatient, intensive inpatient, short term and long term residential, crisis intervention, chemical dependency intervention, prevention, family, group, and individual therapy, equine therapy, and wilderness therapy. He also consults on court cases assessing client dependency and providing treatment recommendations as alternative to incarceration. This work has been conducted with all ages, but predominantly young adults. 
David comes to In Balance with 11 years of front line experience in the field of addiction and mental health treatment. He is thrilled and humbled to have found a place where he can combine both of his passions in counseling and horsemanship. 
David’s role models in the field of psychology have been Albert Ellis, Irvin Yalom, and Viktor Frankl. His personal philosophy is this; "We wake up in the morning and decide that day to do the right thing, or not". This simple idea when executed consistently equates to a balanced internal peace. David uses his innate ability to connect with others, his education, and experience to guide each and every client he encounters to their fullest, purest versions of themselves. David enjoys spending time with his horses, dog, and family. He has also recently taken up cooking and is becoming less of a novice.

J.B. Yewell, MPA, CAI, MSAC(c)

Primary Therapist

JB comes to In Balance with passion for recovery, and a first-hand experience alcoholism and addiction. After leaving behind a successful career in business and finance, JB shifted his focus to sharing the gift of recovery with others. He has spent the last few years working with residents and their families at a leading residential treatment center specializing in trauma and addiction. He is a Certified ARISE® Interventionist and has guided countless families through the process of recovery. In addition, JB holds a Master’s in Public Administration and is nearing completion of a Master’s in Addiction Counseling.

 “Getting and staying sober was one of the hardest things I have ever done in my life. It has also been the most rewarding! For years I struggled with alcoholism and eventually, heroin addiction. It took me to places I never thought I would be. For those on the outside, I had it all together; the beautiful family and a great job. On the inside, I was miserable and suffering. I didn’t know how to process traumatic events from my childhood, I was maladjusted to life.”

“What finally happened for me was nothing short of a miracle. After countless attempts at treatment and sobriety, I was finally given the gift of desperation. My family surrounded me with unending love and support. At that moment, I knew that my disease would provide one of two things: life or death. I chose life. I entered a program that allowed me time to rediscover myself. I learned how to cope with the issues that had been plaguing me for so long. I developed healthy, loving relationships. I was given one more opportunity at being the husband and father I was meant to be. I am living a life beyond my dreams. New doors have begun to open, for the first time in my entire life I feel free. Free to be the person I was meant to be. Free to be honest with myself and others. Finally free from the chains of trauma and addiction.”

In his free time, JB enjoys spending time outdoors hiking with his wife and children, travelling, and riding his Harley! 

Thomas Stall, LMSW

Primary Therapist

Thomas Stall received his Bachelor’s degree from the University of Arizona, majoring in psychology with a minor in sociology. Thomas completed his Masters Degree in Social Work from Columbia University. He is currently a Licensed Masters Social Worker (LMSW) in the state of Arizona and is actively pursuing his Licensed Clinical Social Worker license.


Thomas’s introduction to the mental health field started in 2009 when he volunteered for a long-term residential treatment program for adolescents and young adults struggling with substance abuse disorders. During this volunteer opportunity, he experienced first hand how a positive peer culture acted as a catalyst to young adults making remarkable changes in their lives and the lives of those around them. Witnessing the transformation that the young adults made during his volunteer experience is what led him to make working in mental health his life-long pursuit. 


Since Thomas’s introduction to the mental health field in 2009, he has amassed a wide variety of experiences in the substance abuse and mental health fields. Experience includes: working for local non-profit mental health facilities, working with adolescents diagnosed with eating disorders and substance abuse disorders, working as a court appointed advocate for adults with substance abuse disorders, and most recently working as a therapist for adults and adolescents in a psychiatric hospital. Thomas has taken coursework in Motivational Interviewing and Cognitive Behavioral Therapy, and is continuing to learn about transactional analysis. 


Thomas is excited to return to working in a residential treatment setting as he did during his first volunteer experience in 2009 and is eager for the opportunity to be a part of the recovery process for the adolescents and young adults at In Balance Continuum of Care. 


In his free time, he enjoys traveling, reading, and tending to his cactus garden. 

Ahmad Grigsby BSW, MA, ACE, CPT, PN HC

Primary Therapist

Ahmad Grigsby has an infectious passion to serve. For the past six years, Ahmad has worked diligently in seeking to inspire positive change as a crisis interventionist and a health and fitness coach in Tucson, AZ. 

As a graduate of the University of Kentucky, he was also a scholarship athlete playing defensive back from 2006 to 2009. Ahmad is a nationally certified fitness trainer through the American Council on Exercise and a certified health coach through Precision Nutrition. He has over 10 years’ experience in the sports and fitness industry as a player and coach. After Ahmad completed his bachelor’s degree from the University of Kentucky in 2009, he pursued a professional football career, in conjunction with earning a master’s degree from the University of the Rockies in Psychology with a specialization in sports performance.

Ahmad is driven by his faith, family and a professional ethical code. Ahmad also believes that true lifestyle change stems from growing the connection of the mind and body. “Having a healthy and strong mind and body, is a great start towards being on the right track with finding your true happiness”.

Ahmad plans to bring consistent positive energy, optimism, a healthy lifestyle change model and a solution focused clinical eye to help enhance the recovery and transitional living process for his clients at In Balance. “If you can think it and believe it, you will achieve it. So, let’s get it”!!! 


Ahmad Grigsby is the older brother of former collegiate and NFL running back Nicolas Grigsby of University of Arizona, former University of Arizona running back Terris Jones Grigsby and former running back Marcellous Grigsby of Temple University.


When Ahmad is not working at In Balance, he loves to spend his free time conducting group fitness classes for the city of Tucson and is a private health and fitness coach to athletes and working professionals. Ahmad is a lifelong learner and enjoys spending quality time with his 4 children and wife.   

Kristen Doe, LPC

Primary Therapist

Kristen is a Tucson native.  After spending 7 years in Hawaii earning a Bachelor’s and Master’s degree in Counseling, Kristen returned to the mainland to pursue her career working with adolescents and young adults in recovery.  She has her LPC and over ten years of experience working in the field of addiction and mental health.  She centers her work around solution focused therapy and self-compassion.  Recovery offers so many gifts and at the same time can be challenging.  Kristen believes with the right support, guidance, and direction anyone (regardless of their age, gender, financial status) can thrive and live a life beyond their wildest dreams.  

“The things you fear are undefeatable.  Not by their nature, but by your approach” - Jewel

Paul Cirerol, BA in Psychology

Operations Director

Paul has been a life coach for years and is an experienced rock climber who heads the rock climbing excursions. Paul is a part of the expedition team, he has lead a number of trips as well as taken part in organizing trips ranging from camping, AA conferences, Havasupai, snowboarding, and many more. He has been a part of the In Balance family since 2010 and has worked at In Balance Academy and currently works with In Balance Living. Paul has been sober since 2007 and is active in a 12-step program where he embraces sobriety and is active in giving back to the large population of young people throughout Tucson. Paul is a remarkable example to young men in recovery and has been more than influential with the residents and living a full productive sober life. He was promoted to Operations Director in 2017 and has brought skill, compassion and many competencies to that position. His role as Operations Director is to train and supervise staff, crisis management and make sure that logistically, In Balance Young Adult, is running as smooth as possible. 

Luke Hamilton, BA in Psychology

Resident Manager Collegiate Recovery

Luke is a proud Tucson native. After struggling with addiction throughout adolescence and early adulthood, he has found a fulfilling life in recovery after getting sober in 2011.
Luke came to In Balance after finishing his degree in Psychology and Social Behavior at the University of California, Irvine. He was drawn to In Balance because of his own interest and background in behavioral/mental health, academics, and overall recovery. In addition to working in the recovery field for the last five years, Luke completed an internship working with at-risk minors from low income families facing a wide variety of mental and behavioral challenges.Outside of work, Luke is a music enthusiast and happy family man.

Mitchell Hestad

Resident and Weekend Manager

Mitchell Hestad is a life coach, as well as an alumni of the transitional living program. He is an active member of a 12 step fellowship, and has been sober since June 17th, 2010. After graduating the transitional living program Mitchell sought out employment at a local bakery while navigating the pitfalls of early recovery and independent living, before making the decision to pursue more meaningful work helping others. Besides work, Mitchell spends his time taking classes at Pima Community College, hiking, going to the gym, and riding his skateboard. Mitchell has an unwavering commitment to fostering change and growth in the lives of the students of transitional living. Mitch's body of work includes tutoring, mentoring, and teaching life skills. His steadfast commitment is represented both on campus and around the Tucson community.

Jackie Doyle, BS in Molecular and Cellular Biology

Academic Advisor and Administrative Director

Jackie Doyle graduated from the University of Arizona with a B.S. in Molecular and Cellular Biology and works as the Collegiate Recovery Programs Academic Advisor. She has been in recovery since 2014 and dedicates much of her time to sponsoring young women, working a 12- step recovery program, and service work. Jackie's journey with learning how to balance academics with recovery led to her interest in taking on an academic advisor role within a recovery program. She is passionate about helping fellow addicts and alcoholics achieve their occupational and educational dreams while maintaining sobriety and recovery. Jackie enjoys spending time with her husband, Peter, who works at In Balance Academy, as well as their new baby son, Tripp. Tripp is technically the youngest employee at In Balance; as he is the resident cutie.

Sam Zimmer

Life Coach/Alumni Coordinator

Sam Zimmer is a grateful alumni of the In Balance Transitional Living Program. Born in San Diego, Sam has always loved playing sports and being active. After high school, he attended and played football at Washington and Lee University in Virginia for around 3 years before his use of drugs and alcohol got the best of him, forcing him to return home. He arrived in Tucson on September 4th, 2015 and has been sober ever since. During and after his stay in the program, Sam held a few retail jobs and attended class at nearby Pima Community College, while waiting for the opportunity to work for In Balance as a Life Coach, something he knew was in store for him since early on in his stay. 

Sam began working In Balance in early August of 2016. He enjoys having the opportunity to connect with and fun with the guys while being in a position to positively impact young men who are in the exact position he was once. He has wholeheartedly embraced his new life of service and the commitment that comes with working in the field of recovery and is active when it comes to sponsorship as well. Sam is one of our full time Life Coaches at the Collegiate Recovery House and currently a student at The University of Arizona, finishing up his education. Sam also works at local Santa Rita High School as an Assistant Football Coach working with the Defensive Line and Linebackers. When he is not working as a Life Coach for In Balance, coaching football, or in school, he participates in recreational flag football and basketball leagues with the transitional living and collegiate revocery residents and lives in and manages one of In Balance's sober living houses. Sam does his best to make time for working out, sketching, and hanging out with friends, most of which also work for In Balance.

Cat Sharp

Life Coach

I am a wife and a mother of 4 beautiful children. I have been in recovery since 04/19/2012, and it has been the best decision I have ever made for myself. I started at InBalance in September 2017 and since then I have reached my goal of going back to school, helping people in recovery, and enjoying my life. I am currently taking classes at Pima Community College and am excited to see what the future brings for me!

Rebecca Drake

Life Coach

Rebecca was raised in Northern California and moved to Tucson 8 years ago. She has been in recovery and clean since April of 2013. Recovery has allowed Rebecca to build a healthy and full life with a strong sense of purpose. She currently attends the University of Arizona and is pursuing a Bachelors Degree in Psychology.  She is a dog lover and enjoys spending free time with her family. Working at In Balance Transitional Living has given her the opportunity to share with young men the many benefits and rewards of recovery. In Balance Transitional Living has afforded her the ability put her passion for recovery and helping others into practice.

Sean Foley

Life Coach

Sean is a lead life coach here at In Balance Transitional Living. He is a Tucson native. Sean really excels in building genuine, honest, and meaningful connections with our students. Recovery has allowed him to be a father to 2 beautiful daughters and a husband to an amazing wife. He strives to encourage our students to navigate what life in recovery at a young age looks like on a day to day basis. On his time off he enjoys creating art through a myriad of mediums, playing and watching sports, and spending quality time with his family.

Austin Agins

Life Coach

Austin was born and raised in New York, where he started his journey in recovery at the age of 17 years old. While there, he cultivated a love for travel and the outdoors. Throughout his 20’s Austin lived and travelled abroad in places such as Germany and France. A few years ago Austin came back stateside, settling in Colorado for a few years. He then made his way to Tucson, working at In Balance  Academy for 2 1/2 years.  While at In Balance Academy, Austin took the boys out for many excursions, and he has brought this experience back to transitional living, where he loves taking the guys out hiking, fishing, and exploring. Austin is also active in the Arizona AA community and in his home group.

Lucas Joyal

Life Coach

Lucas Joyal is a grateful alumni of In Balance Academy and In Balance Transitional Living Program. Lucas is an active member of a 12 - step fellowship. Lucas is well acquainted with the sober young people community here in Tucson. Lucas has been sober since January 10th 2014. Lucas spends his time weight lifting, hiking, bike riding and art.


After graduating the program Lucas found a passion for helping others and began majoring in social work. Lucas is currently working on his BSW and will be in his masters program next year. He loves his job here at In Balance and working in the field of recovery. Lucas is proud to be an example of how young people can truly stay sober and live a fullfilling productive life while having fun.

Joshua McDaniel

Life Coach

Joshua McDaniel is a Life Coach at In Balance Transitional Living.  He wishes to share the message of hope through his experiential knowledge of mental health issues and substance recovery. He utilizes Mindfulness, Exploration, Contemplation, Community, and wellness to instill a sense of personal empowerment and self-determination.  Joshua is certified as a Recovery Support Specialist through the University of Arizona peer support program. He says he is “Incredibly Grateful to be part of the recovery process.” and “Hopes one day we can all come together and support each other as much as the recovery community does.  It’s really a beautiful thing.” He is a proud Dad of an 8-year-old boy and enjoys playing Guitar,  working on art projects, and Fishing in his spare time.  

Darrin Brookes

Life Coach

My name is Darrin Brookes I have worked in behavior health since 2013 and been with Inbalnce since 2015 I’m from Tucson AZ and have been sober since January 31st of 2010. I’m am grateful to be able to serve and help  guide others out of the dark place that addiction takes us, I’m a big believer that a guy that has walked through it can help other get though! 

Cesar Teran

Life Coach

Cesar is a life coach at both In Balance Transitional Living and In Balance Collegiate Living. After going through the In Balance Academy and In Balance Transitional Living as a client, Cesar made the decision to stay in the continuum as a life coach. As a member in 12 step recovery and a good samaritan Cesar has a huge interest in helping out young men find their own path. Cesar loves working in the social work field and has passion for addiction treatment. He is bilingual in English and in Spanish, and he is a great communicator. 

Michael D'Aloisio

Life Coach

I am a Life Coach at In Balance Transitional Living. I started my journey in Recovery March 20, 2009. During that time I met my Wife, had two beautiful children, and purchased a home. I owe everything I have today to being fully committed to working a 12 step program of Recovery. I am extremely honored to now have the opportunity to help carry the message of hope to the clients at In Balance. As a Life Coach I strive to help these young individuals create a solid foundation on which to build a fulfilling and meaningful life in sobriety. When I am home I spend a majority of my time playing with my five year old son and one year old daughter. 

Ryan Robb

Life Coach

Ryan is a Life Coach at In Balance Transitional Living. He is super involved in the Tucson Recovery Community and likes to bring his passions of fitness and music to work with him. Having come through the other side of opioid addiction himself nothing makes him feel more useful than connecting with our guys and helping them navigate their own struggles successfully.

Sal Estrella

Life Coach

Sal Estrella is a certified recovery support specialist and a life Coach at In Balance Transitional Living. He started his journey to recovery from an opioid addiction on January, 2018. He has first hand experience with the destruction it can cause to the families of those suffering as well as the individual themselves. As a former athlete he incorporates physical activities such as football, hiking, and weight lifting into his work and personal life as a form of therapy. Sal has found a new passion in using his experiential knowledge of substance use disorders to not only improve his life but also the lives of those still struggling.

Lucas Majakowski

Life Coach

My name is Lucas Majkowski. I am a grateful recovering alcoholic, and am living a fulfilling life in sobriety. I am an alumni of In Balance's collegiate living program. Currently I am a senior at the U Of A pursuing a BA in Psychology. I love working at In Balance because it allows me to give back to the community that helped me so much in my own life and to help fellow addicts and alcoholics at this crucial point in their lives. In my free time I like to write, play music and enjoy the outdoors.

Brandon Valdez

Life Coach

Brandon Valdez- Native Tucson Desert Rat. Gym, music, dance, and outdoor enthusiast. My goal in life is to help others achieve their goals and be the best versions of themselves in any way that I can.

Steve Ballesteros

Life Coach

Steven is a Life Coach at both In Balance Transitional and Collegiate Living. Born and raised in Tucson, Steven spent the last few years in the United States Air Force and is now a nursing student. Prior to that he attended the University of Washington as a public health major and volunteered with groups like the Southern Arizona Aids Foundation and National Alliance for Mental Illness.

In both his biological and adoptive families Steven has relatives who live happily in recovery. His adoptive mothers have both been sober for over 20 years which served as a great inspiration to both his sisters who were early in recovery before they passed. Steven is an active participant in Al-Anon meetings and in CoDA 12 step recovery. It brightens his day to support the young men at In Balance with things like studying, nutrition, and working out while also serving as a nurturing and well boundaried role model as they grow in their friendships, families, and sobriety.

Daniel Morelos

Life Coach

Hello, my name is Daniel Morelos Jr. and I’ve been clean & sober since December 04, 2018. While in treatment, I was blessed with the opportunity to become a Certified Recovery Support Specialist through the University of Arizona’s Workforce Development Program. I have a background in Hotel Front Desk Management and studied Hotel/ Restaurant Management at Pima Community College. After plateauing in the hotel business, I knew I had a lot more to offer. Switching careers was the best thing I’ve done for my health and wellness because I’m able to share my life’s experiences with your loved ones. My goal is to help these young men find hope to live long meaningful lives. On my time away from work I enjoy being involved in the AA community, hiking Tumamoc Hill on Tucson’s westside and exploring new sights with my Blue-Fawn Pitbull and Chihuahua Terrier, Omar and Sadie.

Chris Amalathas

Life Coach

Chris Amalathas is a proud alumni of the In Balance Intensive Outpatient program. Born and raised in New York, he’s spent the past few years building a successful foundation for his recovery in Tucson.
He continues to work  and grow in an active program of recovery to this day.
Chris has a passion for helping others in recovery and meeting them where they’re at in their journey.
He is currently working towards a degree in social services to extend his drive for helping others to new heights and opportunities.

Courtney Blackwell

Life Coach

Bio Coming Soon!

Ethan Ten Grotenhuis

Life Coach

Hi my name is Ethan and I am from Oakland, California. I originally came to In Balance as a client in late 2018. I am deeply grateful for this company and also have great aspirations for this line of work. I am currently going to school full time and working part time. 

Jacob Wolpin

Life Coach

Bio Coming Soon!

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In Balance Transitional Living's therapeutic services have earned the Joint Commission’s Gold Seal of Approval® for Behavioral Health Care Accreditation. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective care. 
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