Submit New Organization/Facility/Program Information

New Organization, Facility, or Program name:

Website:

Contact:

Phone Number:

Email Address:

County: (this field is REQUIRED - if you don't fill it out, your program will not appear on the list of programs in your County)

Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey

EBHP Programs Offered: (select multiple if needed)

Active Choices AF Tai Chi: Arthritis Foundation Tai Chi AFAP: Arthritis Foundation Aquatics Program AFEP: Arthritis Foundation Exercise Program AFSH: Arthritis Foundation Self-Help Program ALED: Active Living Every Day Become an Ex CDSMP: Chronic Disease Self-Management Program-Living Healthy Enhance Fitness Enhance Wellness Fit and Strong Healthy Ideas MOB: Matter of Balance North Carolina Tobacco Use Quitline Pearls Stanford University's Diabetes Self Management Training Program Strong For Life WWE: Walk With Ease

List other programs (not listed above)

Congregate Meals Offered?

yes
no

Program Cost (if applicable):

Brief Description of facility/organization/program, mission, purpose:

Additional Information