For Providers - PA 211

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If you are a service provider and would like to be added to PA 211’s statewide community resource database or update your listing, please give us a few details and we’ll get back to you as soon as possible. This form also applies to organizations with volunteer opportunities.

View Inclusion Policy

How to Update Your Listing

Are you a new or existing provider?*
Organization Name*
Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Organization's Main Phone Number*
Organization's Website
Your Name*
First Last
Title*
How do you prefer we contact you?*
What is your organization type?*
PA 211 has an inclusion policy that determines which organizations and programs can be included in our directory. The full inclusion policy is available for the public by clicking here.

For Profit organizations are eligible for inclusion if they meet either of these conditions:
- Provide a service not available in the nonprofit sector when such a service is determined essential by 211 (e.g. emergency alert equipment and driver’s intervention programs).
- Provide services for free or offer a sliding fee scale, subsidies, or other coverage (i.e. Medicaid) that would make their services accessible to someone of low income.
My For Profit organization is eligible for inclusion because it:*
Please describe the essential service your for profit organization offers that is not available in the nonprofit sector:*
Please describe how your services are accessible to someone of low income:*
Enter a brief description of your organization and the programs it offers or the change you would like to make to your organization/program information in our database. If you have a volunteer opportunity, please describe it here.*
Email
This field is for validation purposes and should be left unchanged.

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This site is not for emergencies. Dial 911 if you have an emergency.Dial 988 if you are in mental health distress or are considering self harm.

This site is not for emergencies. Dial 911 if you have an emergency.
Dial 988 if you are in mental health distress or are considering self harm.