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to <br />State of North Carolina <br />Division of Social Services <br />Contract Application <br />Page 2 of <br />E. Contract Identification: <br />L Provider <br />a, Name of Contract Administrator: Wirmie Morgan <br />Tel.. # : (919) 732-1524 <br />b. Name of Program Contact Person: <br />Tel. #: <br />c. Program Name, Location and Mailing Address: Morgan and Associates <br />~7jj Rhrk ar T1rivP, Hill~hnrnnol,~NC ~"7~'7R <br />d. Additional Service Delivery Sites: <br />e, Status : OPublic OPrivate, non-profit <br />( )Private, for Profit (X) Individual <br />f. Provider Conh~act ID #: <br />2. Comity Department of Social Services <br />a. Name of Contract Administrator: Nancy Colton <br />Tel. # : (919) 732-8181 <br />b, Nune of Services Pro~am Contact Person: Gwendolyn Price <br />Teh #: (919) 7.33-8181 <br />c. Address of County Department of Social Services: <br />1?n RnxR1R1 <br />same as above <br />Hillsborough, NC 27278 <br />