LOUISIANA Community Mental Health Services Block Grant ...

PART A: FACE SHEET
FISCAL YEARS COVERED BY THE PLAN (Please check as appropriate)
STATE NAME: Louisiana
DUNS#: 809927064
FY 2011
I. AGENCY TO RECEIVE GRANT
AGENCY: Office of Behavioral Health
ORGANIZATIONAL UNIT: Department of Health and Hospitals
STREET ADDRESS: 628 N. 4 th Street, 4 th Floor, (P.O. Box 4049)
CITY: Baton Rouge STATE: LA ZIP: 70821-4049
TELEPHONE: (225) 342-2540 FAX: (225) 342-5066
II. OFFICIAL IDENTIFIED BY GOVERNOR AS RESPONSIBLE FOR
ADMINISTRATION OF THE GRANT
NAME: Kathy Kliebert TITLE: Assistant Secretary
AGENCY: Office of Behavioral Health
ORGANIZATIONAL UNIT: Department of Health and Hospitals
STREET ADDRESS: 628 N. 4 th Street, 4 th Floor, (P.O. Box 4049)
CITY: Baton Rouge STATE: LA ZIP: 70821-4049
TELEPHONE: (225) 342-2540 FAX: (225) 342-5066
III. STATE FISCAL YEAR
FROM: July 1, 2010 TO: June 30, 2011
IV. PERSON TO CONTACT WITH QUESTIONS REGARDING THE APPLICATION
NAME: Cathy Orman Castille, PhD, MP
TITLE: Block Grant Planner,
Division of Planning, Data Management, & Compliance
AGENCY: Office of Mental Health
ORGANIZATIONAL UNIT: Department of Health and Hospitals
STREET ADDRESS: 628 N. 4 th Street, 4 th Floor, P.O. Box 4049
CITY: Baton Rouge STATE: LA ZIP: 70821-4049
TELEPHONE: (225) 342-2540 FAX: (225) 342-5066 EMAIL: Cathy.Castille@LA.GOV
PART A LOUISIANA FY 2011 PAGE 7
FACE SHEET