Online Application for Registration is under development and will be available soon!
Potential Clients must create a unique account (log-on).
Please complete all questions to the best of your knowledge.
Reminders: Before submitting your application, please review it for accuracy.
An intake counselor will review your application and contact you within 48 hours, to schedule an appointment during working hours between 10:00 a.m. to 6:00 p.m. excluding weekends and holidays.
If your intake information changes prior to speaking with an intake staff, please use your log-on to update your contact information only.
Sample of your Log-on
Note: All information is confidential.
For Information on Online Application (in development) / Register for the Re-Entry process please contact 301-909-6328 or x6323