Empowering communities through integrated healthcare
Mental illness, when combined with chronic physical health conditions, affects all areas of a person’s life and may result in complex challenges to overcome. In such instances, Centerstone’s Certified Community Behavioral Health Clinics (CCBHCs) use a coordinated, whole-person model of care to help individuals improve overall health and maintain active and fulfilling lives.
CCBHCs strive to provide essential services directly or through partnerships. These include:
- Crisis Services
- Treatment Planning
- Screening, Assessment, Diagnosis & Risk Assessment
- Outpatient Mental Health & Substance Use Services
- Targeted Case Management
- Outpatient Primary Care Screening and Monitoring
- Community-Based Mental Health Care for Veterans
- Peer, Family Support & Counselor Services
- Psychiatric Rehabilitation Services
Journey to Integrated Healthcare
At Centerstone, the process of transforming clinic locations to CCBHCs began in 2018 through funding from the Substance Abuse and Mental Health Services Administration (SAMHSA). This funding allows our awarded clinics in Florida, Illinois, Indiana, and Tennessee to provide patient- and family-centered, recovery-oriented, wellness-focused and integrated primary and behavioral care for both adults and children. Evidence shows that integrating behavioral and physical healthcare and prevention services through care coordination can lead to better outcomes. Currently, Centerstone operates 7 federally-funded CCBHCs across these four states.
Each state clinic location has been able to utilize SAMHSA funds to expand access to care and improve clinic infrastructure and staffing. In Tennessee, Medication Assisted Treatment services were expanded; In Indiana, a Federally Qualified Health Center (FQHC) was set up for integration of primary health care needs; In Illinois, intensive case management was implemented to assist clients with serious mental illness; And in Florida, a suicide pathway and Cognitive Behavioral Therapy (CBT) for insomnia was implemented.
Centerstone’s comprehensive array of evidence-based practices creates access, stabilizes people in crisis, and provides treatment and support services emphasizing recovery, wellness, trauma-informed care, and primary-behavioral health integration.
To learn more about the services provided at Centerstone or to schedule an appointment, give us a call at 1-877-HOPE123 (1-877-467-3123).
Understanding the History and Future of CCBHCs
The main objective of receiving federal CCBHC funding is to work towards meeting all CCBHC criteria outlined by the Department of Health and Human Services (HHS), while also engaging state-wide stakeholders to build support for funding the CCBHC model at the state-level. Once a state attains buy-in from stakeholders and becomes a demonstration, time-limited enhanced federal funding is provided to help states identify pathways for sustaining the model once this funding expires.
- To learn more about the overall evolution of the CCBHC model and Centerstone’s efforts to integrate it, explore the timeline below.
2014
2014
Section 223 of the Protecting Access to Medicare Act of 2014 initially authorized the demonstration program to begin certifying community behavioral health clinics (CCBHCs). The Excellence in Mental Healthcare Act established the criteria for the nine required services and reimbursement
2015
2015
Department of Health and Human Services (HHS) released original CCBHC Certification Criteria. 24 State Planning Grants awarded by SAMHSA
2016
2016
Eight states selected to participate in the Section 223 CCBHC Demonstration (MN, MO, NY, NJ, NV, OK, OR, and PA)
2018
2018
First 52 CCBHC-Expansion Grants awarded under Section 520A (42 USC 290bb-32) of the Public Health Service Act, as amended
Centerstone CCBHC Milestone
2018
Centerstone applies for and receives the first expansion grant from SAMHSA in Illinois and Indiana
2020-21
2020-21
Additional States added to the Section 223 CCBHC Demonstration (KY and MI, authorized by Coronavirus Aid, Relief, and Economic Security Act)
Centerstone CCBHC Milestone
2020-21
Centerstone applies and receives the first expansion grant in Tennessee and Florida. Centerstone applies and receives the second expansion grant in Indiana and Illinois
2022
2022
Bipartisan Safer Communities Act authorizes addition of up to 10 states to the Demonstration every two years
Centerstone CCBHC Milestone
2022
Expansion grants for all states end in September. Centerstone applies and receives four-year Improvement & Advancement grants through 2026 in Indiana, Tennessee, and Florida
2023
2023
Up to 15 Planning Grants awarded and updated Certification Criteria released
Centerstone CCBHC Milestone
2023
Centerstone applied and received four additional grants: three planning, development, and implementation grants for new clinic locations in Carbondale, IL; Ft. Myers, FL; and Tullahoma, TN; and one Improvement and Advancement grant to continue efforts for the first Centerstone of Illinois CCBHC clinic in Alton, IL.
2024-2026+
Centerstone CCBHC Milestone
2024
Centerstone clinics in Bloomington, IN and Alton, IL were chosen for state demonstration under Section 223 of the Protecting Access to Medicare Act (PAMA) and will now work hand in hand with these states to develop a Prospective Payment System for improved reimbursement of CCBHC services. In the meantime, Centerstone clinics in Clarksville, TN; Tullahoma, TN; Carbondale, IL; Bradenton, FL; and Ft. Myers, Florida will continue to build and sustain their infrastructure to meet CCBHC criteria and eventually join the state demonstration in the future.
2024-2026+
As of June 2024, 10 new states (Alabama, Illinois, Indiana, Iowa, Kansas, Maine, New Hampshire, New Mexico, Rhode Island and Vermont) were welcomed into the CCBHC Medicaid Demonstration Program, after they successfully developed the necessary state-level infrastructure and worked with providers in their states to develop programs that meet CCBHC standards. Looking forward, SAMHSA aims to add 10 new states every 2 years to this Medicaid Demonstration Program, eventually encompassing the nation.
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CCBHC Cross-Site Analysis Packet
This document includes analyses of all data collected by Certified Community Behavioral Health Clinics (CCBHCs) from 2018 through 2022. Use the table of contents to delve into specific topics covered. Here you will find National Outcomes Data, information on diagnoses, telehealth utilization, hospital and emergency room data collected, and further recommendations based on our findings.
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CCBHC Cross-Site Recommendations Summary
This document summarizes the recommendations also located in the main cross-site packet. Recommendations for clinical improvement and further areas to explore were made based on experiences collecting and analyzing data from the EHR, populations found to be underrepresented in the Certified Community Behavioral Health Clinics (CCBHC) sample, and client outcomes observed throughout the evaluation.
From understanding the core differences between CCBHCs and traditional clinics to witnessing the remarkable outcomes and effectiveness of this model, our videos serve as a rich resource for knowledge and insights.
CCHBC vs Community Mental Health Center
Learn about the unique aspects of the CCBHC model, the types of comprehensives services CCBHCs are required to offer, and how it addresses challenges experienced by traditional community mental health centers (CMHCs).Cross-site CCBHC Outcomes
Now that you know about the CCBHC model, learn about how sustaining whole-person care influenced clients’ experiences and outcomes across all four clinics, including their mental health, substance use, and overall quality of life after six months of treatment.Special Populations & Social Determinants of Health
The CCBHC model aims to provide equitable, affordable, timely, and quality community behavioral health services to everyone regardless of their background or ability to pay. This emphasizes the importance of practicing cultural competence and addressing social determinants of health during treatment, so we provide a breakdown of special populations served by our CCBHC clinics.Sustainability & Improving Care
Remember how the CCBHC model allows clinics to provide services according to their community’s unique needs? Here we provide the history behind the CCBHC initiative and how each clinic is working towards implementing and sustaining equitable and comprehensive care.Please note videos were created based on 2018-2022 CCBHCs. Since 2022, we have 4 new CCBHCs that we will add (where relevant) to these videos in the near future.
One pagers will be updated once the next Cross-Site Analysis is completed between 2026-2027.
If any new advancement and/or discoveries are made prior to 2026-2027, we will be sure to share here!
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Who Can Become a CCBHC?
This resource outlines the eligibility criteria for organizations that can become a CCBHC in compliance with the Protecting Access to Medicare Act (PAMA).
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What Criteria Does a CCBHC Need to Meet?
Substance Abuse and Mental Health Services Administration’s (SAMHSA) certification criteria for CCBHCs.
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CCBHC Success Center
The National Council for Mental Wellbeing’s Certified Community Behavioral Health Clinic (CCBHC) Success Center serves as a resourceful hub offering data, implementation support, and advocacy to bolster the CCBHC initiative.
Centerstone’s Bradenton Clinic in Bradenton, Florida received its first two-year CCBHC-E grant in 2020 funded by The Substance Abuse and Mental Health Services Administration (SAMHSA). Currently, using the CCBHC Improvement and Advancement Grant awarded in 2022, the clinic continues to transform community behavioral health systems and provide comprehensive, integrated, coordinated, and person-centered behavioral health care. Additionally, in October 2023, Centerstone received a Planning, Development, and Implementation Grant to create a CCBHC in Ft. Myers, Florida which will help fill key service gaps in the area and target crisis needs.
Services are made available to any individual, children, adolescents, and adults, seeking care for a mental and/or substance use disorder, in addition to individuals experiencing a mental health or substance use-related crisis. Through CCBHC funding, the Bradenton Clinic has increased capacity by hiring more providers. This includes nursing staff at the walk-in center to aid in addressing any physical health care needs. Identified as an area of need in our 2023 community needs assessment, the clinic staff work to better serve groups facing unique health disparities such as individuals with co-occurring disorders, individuals from minority groups, and individuals with limited English proficiency.
Want to help us improve access to Behavioral Health Services in your community?
Join the Community Advisory Board
In order to stay engaged with our community members, we meet 3 times a year with our advisory board made up of clients and family members. Join our 45-60 minute meeting virtually to discuss mental health needs in the community and learn more about what Centerstone can offer.
Sign Up SheetTake a Survey!
This Community Needs Assessment survey helps us understand the Mental Health and Substance Use needs of our community and the barriers to treatment that need to be addressed.
Needs Assessment SurveyAttend Community Health Events:
See below for information about important health events in your area!
EventsFlorida CCBHC Clinics
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Bradenton
381 6th Ave West, Bradenton, FL 34205- De Soto
- Hillsborough
- Manatee
- Sarasota
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Ft. Myers
2830 Winkler Ave, Suite 105, Ft. Myers, FL 33901- Charlotte
- Collier
- Glades
- Hendry
- Lee
The Centerstone clinic in Alton, Illinois received its first CCBHC expansion grant in 2018. The second CCBHC Improvement and Advancement (IA) Grant was awarded in 2020 and ended in May of 2023. In October 2023, the Alton Clinic received another CCBHC IA grant which will support services until 2027. Additionally in October 2023, the Carbondale Clinic received their first Planning, Development, and Implementation (PDI) grant which will allow this clinic location to expand services and better serve the local community’s behavioral health care needs.
Our implementation and expansion is focused on ICM – Intensive Case Management, which employs peer specialist, counselors, and clinicians that work to support clients in accomplishing long-term case goals and outcomes over relatively short periods of time.
CCBHC funding also supported the creation of telehealth rooms in our facility prior to the COVID-19 pandemic which was instrumental to our readiness for virtual care. We started experimenting with using telehealth therapists at the start of the pandemic and have found much success utilizing this mode of care delivery when necessary.
Case management, individual and group wellness coaching, and peer support services not covered by insurance have also been supported by the CCBHC grant. Our MAIN goal has been working with the State Mental Health Association to become a demonstration state which will ensure continued success of the communities and clients in which we serve.
While working on developing a state-funded CCBHC model, Centerstone will continue expanding and making improvements to services through the CCBHC IA Grant at the Alton Clinic and CCBHC PDI grant at the Carbondale Clinic through 2027.
Illinois CCBHC Clinics
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Alton
2615 Edwards St, Alton, IL 62002- Calhoun
- Greene
- Jersey
- Macoupin
- Madison
- St. Clair
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Carbondale
2311 S Illinois Ave, Carbondale, IL 62903- Franklin
- Jackson
- Perry
- Union
- Williamson
The Centerstone Clinic in Bloomington, Indiana received its first CCBHC expansion grant in 2018, its second in 2020, and now utilizes the CCBHC-IA (Improvement and Advancement) Grant, which was awarded in 2022 and provides funding through 2026.
Through the three CCBHC SAMHSA grants over the past 5 years, the Bloomington clinic has facilitated a shift toward integrative health care (in-line with CCBHC requirements), which we, as an organization, call whole health care. CCBHC grant-funded staff have enabled the delivery of whole health care services at Centerstone through the provision of health coaching, life skills, health education (individual and groups), and general health assessments & reassessments for all clients. CCBHC grant-funded staff support our walk-in clinic (Same Day Access) through the provision of intake assessments, therapy, case management, medical record access/coordination, and integrated care coordination (both internally and externally), especially for those who are un-/under-insured. Additionally, CCBHC grant funds are used to provide hospital inpatient intake assessments, as well as intake assessments for probation & problem-solving court clients. At the administrative level, CCBHC grant staff are engaged in numerous whole health workgroups and projects, which are supporting and guiding Centerstone of Indiana in the implementation and delivery of whole health care.
Indiana CCBHC Clinics
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Bloomington
645 S Rogers St, Bloomington, IN 47403- Bartholomew
- Brown
- Greene
- Lawrence
- Monroe
- Morgan
- Owen
Payment assistance
We understand the unknown cost of mental health and addiction services can be a deterrent to seeking much-needed care. Don’t let those unknowns scare you! Our customer care staff are familiar with our payment options and will ask questions to determine if you qualify for grant funding or need-based payment assistance programs. Our staff can explain options over the phone. Assistance is made possible through charitable donations to Centerstone’s Foundation, local and federal grant programs, and a sliding fee scale which is available to all clients but only at certain sites with National Health Service Corps certification. Eligibility may vary by state.
The best way to find out if you qualify is to reach out. Give us a call at 877-HOPE123.
Paying for Services
| Service | Per | Standard Fee | Tier 0 | Private Pay Tier 3 All Provider Levels | Private Pay Tier 3 Medical Providers Only | Private Pay Tier 4 All Providers | Private Pay Tier 4 Medical Providers Only | Private Pay Tier 5 All Providers | Private Pay Tier 5 Medical Providers Only |
|---|---|---|---|---|---|---|---|---|---|
| 90839 (Face to Face) | First 60 minutes | $300.00 | $0.00 | $56.00 | — | $84.00 | — | $112.00 | — |
All Psychotherapy Groups
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Group | $92.00 | $0.00 | $12.00 | — | $18.00 | — | $24.00 | — |
Intervention Groups
|
FRGROUP | N/A | $25.00 | $25.00 | — | $18.00 | N/A | $25.00 | — |
Educational Groups
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4 session program | N/A | $100.00 | $100.00 | — | $100.00 | — | $100.00 | — |
| Case Management | 15 min | $25.00 | Not Covered | Not Covered | — | Not Covered | — | Not Covered | — |
| 90791 (non-‐medical) Evaluation | Event | $276.00 | $0.00 | $54.00 | N/A | $81.00 | N/A | $108.00 | N/A |
| 90792 (medical) Evaluation | Event | $316.00 | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 5500/90846 Family Without | Hour | $216.00 | $0.00 | $44.00 | N/A | $66.00 | N/A | $88.00 | N/A |
| 5501/90847 Family with client | Hour | $216.00 | $0.00 | $44.00 | N/A | $66.00 | N/A | $88.00 | N/A |
| Forensic | Hour | $250.00 | Full fee | Full fee | N/A | Full fee | N/A | Full fee | N/A |
| 1000/90832 – Psychotherapy | (16-37 min) | $120.00 | $0.00 | $34.00 | N/A | $51.00 | N/A | $68.00 | N/A |
| 1000/90834 – Psychotherapy | (38-52 min) | $180.00 | $0.00 | $36.00 | N/A | $54.00 | N/A | $72.00 | N/A |
| 1000/90837 – Psychotherapy | (53+ min) | $276.00 | $0.00 | $54.00 | N/A | $81.00 | N/A | $108.00 | N/A |
| 99202 – New Patient low to moderate | Event | $148.00 | $0.00 | N/A | $40.00 | N/A | $60.00 | N/A | $80.00 |
| 99203 – New Patient moderate severity | Event | $218.00 | $0.00 | N/A | $58.00 | N/A | $87.00 | N/A | $116.00 |
| 99204 – New Patient moderate to high severity | Event | $338.00 | $0.00 | N/A | $86.00 | N/A | $129.00 | N/A | $172.00 |
| 99205 – New Patient moderate to high complexity | Event | $448.00 | $0.00 | N/A | $108.00 | N/A | $162.00 | N/A | $216.00 |
| 99211 – Est patient self limited or minor | Event | $46.00 | $0.00 | N/A | $18.00 | N/A | $27.00 | N/A | $36.00 |
| 99212 – Est patient straightforward decision making | Event | $90.00 | $0.00 | N/A | $26.00 | N/A | $39.00 | N/A | $52.00 |
| 99213 – Est patient low complexity | Event | $150.00 | $0.00 | N/A | $40.00 | N/A | $60.00 | N/A | $80.00 |
| 99214 – Est patient moderate complexity | Event | $221.00 | $0.00 | N/A | $58.00 | N/A | $87.00 | N/A | $116.00 |
| 99215 – Est patient high complexity | Event | $312.00 | $0.00 | N/A | $76.00 | N/A | $114.00 | N/A | $152.00 |
| Psychological Testing* By PHD only | Per hour | $250.00 | Full fee | Full fee | Full fee | Full fee | Full fee | Full fee | Full fee |
Ayuda económica
Sabemos que los costos desconocidos de los servicios de salud mental y del tratamiento de adicciones pueden disuadir a las personas de buscar la atención que tanto necesitan. ¡No deje que lo desconocido lo asuste! Nuestro personal de atención al cliente está familiarizado con las opciones de pago y le hará preguntas para determinar si califica para programas de subvenciones o de ayuda con los pagos, según sus necesidades. El personal le puede explicar las opciones por teléfono. La asistencia es posible gracias a donaciones caritativas a la fundación Centerstone Foundation, programas de subvenciones locales y federales, y una escala de tarifas variable que está disponible para todos los clientes, pero solo en ciertos centros con certificación del Cuerpo Nacional de Servicios de Salud (National Health Service Corps). La elegibilidad puede variar según el estado.
La mejor forma de saber si califica es comunicarse. Llámenos al 877-HOPE123.
Pago por Servicios
| Servicio | Por | Tarifa estándar | Nivel 0 | Pago privado en el nivel 3 Todos los niveles de proveedores | Pago privado en el nivel 3 Solo proveedores de atención médica | Pago privado en el nivel 4 Todos los proveedores | Pago privado en el nivel 4 Solo proveedores de atención médica | Pago privado en el nivel 5 Todos los proveedores | Pago privado en el nivel 5 Solo proveedores de atención médica |
|---|---|---|---|---|---|---|---|---|---|
| 90839 (presencial) | Primeros 60 minutos | $300.00 | $0.00 | $56.00 | — | $84.00 | — | $112.00 | — |
Todos los grupos de psicoterapia
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Grupo | $92.00 | $0.00 | $12.00 | — | $18.00 | — | $24.00 | — |
Grupos de intervención
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Grupo FRGROUP | N/C | $25.00 | $25.00 | — | $18.00 | N/C | $25.00 | — |
Grupos de formación
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Programa de 4 sesiones | N/C | $100.00 | $100.00 | — | $100.00 | — | $100.00 | — |
| Administración de casos | 15 minutos | $25.00 | Sin cobertura | Sin cobertura | — | Sin cobertura | — | Sin cobertura | — |
| 90791 Evaluación no médica | Evento | $276.00 | $0.00 | $54.00 | N/C | $81.00 | N/C | $108.00 | N/C |
| 90792 Evaluación médica | Evento | $316.00 | N/C | N/C | N/C | N/C | N/C | N/C | N/C |
| 5500/90846 Familia sin el cliente | Hora | $216.00 | $0.00 | $44.00 | N/C | $66.00 | N/C | $88.00 | N/C |
| 5501/90847 Familia con el cliente | Hora | $216.00 | $0.00 | $44.00 | N/C | $66.00 | N/C | $88.00 | N/C |
| Forense | Hora | $250.00 | Tarifa total | Tarifa total | N/C | Tarifa total | N/C | Tarifa total | N/C |
| 1000/90832 Psicoterapia | (16-37 minutos) | $120.00 | $0.00 | $34.00 | N/C | $51.00 | N/C | $68.00 | N/C |
| 1000/90834 Psicoterapia | (38-52 minutos) | $180.00 | $0.00 | $36.00 | N/C | $54.00 | N/C | $72.00 | N/C |
| 1000/90837 Psicoterapia | (53 minutos) | $276.00 | $0.00 | $54.00 | N/C | $81.00 | N/C | $108.00 | N/C |
| 99202 Paciente nuevo: gravedad baja o moderada | Evento | $148.00 | $0.00 | N/C | $40.00 | N/C | $60.00 | N/C | $80.00 |
| 99203 Paciente nuevo: gravedad moderada | Evento | $218.00 | $0.00 | N/C | $58.00 | N/C | $87.00 | N/C | $116.00 |
| 99204 Paciente nuevo: gravedad moderada o alta | Evento | $338.00 | $0.00 | N/C | $86.00 | N/C | $129.00 | N/C | $172.00 |
| 99205 Paciente nuevo: gravedad alta o compleja | Evento | $448.00 | $0.00 | N/C | $108.00 | N/C | $162.00 | N/C | $216.00 |
| 99211 Paciente fijo: autolimitado o leve | Evento | $46.00 | $0.00 | N/C | $18.00 | N/C | $27.00 | N/C | $36.00 |
| 99212 Paciente fijo: toma de decisiones directa | Evento | $90.00 | $0.00 | N/C | $26.00 | N/C | $39.00 | N/C | $52.00 |
| 99213 Paciente fijo: complejidad baja | Evento | $150.00 | $0.00 | N/C | $40.00 | N/C | $60.00 | N/C | $80.00 |
| 99214 Paciente fijo: complejidad moderada | Evento | $221.00 | $0.00 | N/C | $58.00 | N/C | $87.00 | N/C | $116.00 |
| 99215 Paciente fijo: complejidad alta | Evento | $312.00 | $0.00 | N/C | $76.00 | N/C | $114.00 | N/C | $152.00 |
| Evaluación psicológica* Solo por médico (PhD) | Por hora | $250.00 | Tarifa total | Tarifa total | Tarifa total | Tarifa total | Tarifa total | Tarifa total | Tarifa total |
The Harriett Cohn Clinic in Clarksville, Tennessee received its first CCBHC expansion grant in 2020. The second CCBHC Improvement and Advancement Grant was rewarded in 2022 and is ongoing through 2026. In 2023, the Tullahoma Clinic located in Tullahoma, Tennessee received their first Planning, Development, and Implementation grant which will be ongoing until 2027.
The CCBHC project has supported the implementation and expansion of Medication Assisted Treatment (MAT) at the facility by employing full-time providers and nurses. MAT services are offered in-person and via telehealth. Case management, individual and group wellness coaching, and peer support services not covered by insurance have also been supported by the CCBHC grant. Current funds are being used to expand and sustain substance use treatment and follow-up care post-rehab, including Intensive Outpatient (IOP) group therapy, particularly for underinsured populations.
In order to stay engaged with our community members, we meet quarterly with our advisory board made up of clients and family members.
Tennessee CCBHC Clinics
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Clarksville
511 8th St, Clarksville, TN 37040- Cheatham
- Houston
- Montgomery
- Robertson
- Stewart
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Tullahoma
1803 N Jackson St, Tullahoma, TN 37388- Bedford
- Coffee
- Franklin
- Lincoln
- Moore
