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Submitted URL: http://nasen.org/
Effective URL: https://nasen.org/
Submission: On November 05 via api from US — Scanned from DE
Effective URL: https://nasen.org/
Submission: On November 05 via api from US — Scanned from DE
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<option value="AB">Alberta (0 SSPs)</option>
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<option value="AZ">Arizona (14 SSPs)</option>
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<option value="IL">Illinois (14 SSPs)</option>
<option value="IN">Indiana (12 SSPs)</option>
<option value="KS">Kansas (0 SSPs)</option>
<option value="KY">Kentucky (35 SSPs)</option>
<option value="LA">Louisiana (6 SSPs)</option>
<option value="MA">Massachusetts (15 SSPs)</option>
<option value="MB">Manitoba (0 SSPs)</option>
<option value="MD">Maryland (9 SSPs)</option>
<option value="ME">Maine (8 SSPs)</option>
<option value="MH">Marshall Islands (0 SSPs)</option>
<option value="MI">Michigan (36 SSPs)</option>
<option value="MN">Minnesota (15 SSPs)</option>
<option value="MO">Missouri (4 SSPs)</option>
<option value="MP">Northern Marianas (0 SSPs)</option>
<option value="MS">Mississippi (0 SSPs)</option>
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<option value="SD">South Dakota (0 SSPs)</option>
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<option value="TN">Tennessee (8 SSPs)</option>
<option value="TX">Texas (8 SSPs)</option>
<option value="UT">Utah (6 SSPs)</option>
<option value="VA">Virginia (4 SSPs)</option>
<option value="VI">Virgin Islands (0 SSPs)</option>
<option value="VT">Vermont (4 SSPs)</option>
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<option value="26">Benzo Test Strips (12 SSPs)</option>
<option value="4">Case Management/Coordinated Care (222 SSPs)</option>
<option value="9">Community Trainings/Education (379 SSPs)</option>
<option value="19">COVID-19 Testing (16 SSPs)</option>
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<option value="13">LGBTQ Services (177 SSPs)</option>
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Skip to Main Content ←Nach links→Nach rechts↑Nach oben↓Nach unten+Heranzoomen-HerauszoomenPos1Um 75 % nach linksEndeUm 75 % nach rechtsBild aufUm 75 % nach obenBild abUm 75 % nach unten Zum Verschieben drückst du die Pfeiltasten entsprechend. Karte * Gelände Satellit * Beschriftungen Kurzbefehle KartendatenKartendaten ©2024 Google, INEGI Kartendaten ©2024 Google, INEGI 500 km Klicken, um zwischen metrischen und angloamerikanischen Maßeinheiten zu wechseln Nutzungsbedingungen Fehler bei Google Maps melden Undisclosed One-to-one One+ Need-based Secondary Mobile Naloxone ABOUT THE DATA ON THIS SITE In 1988, Dave Purchase, began distributing syringes in his hometown of Tacoma, Washington, paving the way for the first legally operating SSP in the United States. Today, Dave Purchase Project (named for its founder) continues to operate the Tacoma Needle Exchange as well as the North American Syringe Exchange Network (NASEN), a program that supports operational SSPs through loan assistance, fiscal sponsorship, program start-up kits, and lower-cost harm reduction supplies through the NASEN Buyers Club. NASEN also maintains an online directory of syringe services programs (SSPs) in the United States, U.S. Virgin Islands, and Puerto Rico. The NASEN Directory, started in 1992, is the oldest and most comprehensive list of SEPs in the United States. Recently, more public attention has been given to the NASEN Directory. In response to the many inquiries we have received about the directory—and the many misconceptions of what the directory represents that have fueled those inquiries—Dave Purchase Project would like to clarify the procedures through which the directory has been generated and maintained, as well as changes to those procedures over time. In particular, it is crucial for those who may seek to analyze directory information to understand what the NASEN Directory represents, and what it does not. In that way, we can see what sorts of inferences can and, importantly, cannot be made using data derived from this source. The NASEN Directory is not, nor has it ever claimed to be, a comprehensive listing of all SSPs operating in the United States. The organizations listed in the NASEN Directory represent a highly selected subset of SSPs operating in the North America. Specifically, SSPs may only be listed in the directory if that SSP has been in touch with NASEN (often, though not exclusively) because they are a member of the NASEN Buyers Club) and has expressly provided consent to have their information listed in the directory. Thus, the only conclusion that can be inferred by the appearance of an SSP in the NASEN Directory is that they are likely (though not necessarily) members of the NASEN buyer’s club and have authorized NASEN to list them in the Directory. It cannot be concluded from the NASEN Directory that there are no syringe exchange activities occurring in the areas where no SSPs are listed. An SSP may be operating but have had no prior contact with NASEN. An SSP may be a member of the NASEN Buyers Club but have declined to have their information included in the Directory. Indeed, the decision by an SSP to be included in the NASEN Directory is a calculated one that signals SSP operators’ level of comfort in the legal environment in which they operate and readiness to have their exchange activities publicly declared, and likely scrutinized by local authorities. Importantly, the NASEN Directory not only represents a limited sample of operating SSPs, it represents a highly selected sample. SSPs that enjoy reliable funding from state and local sources may have no need to join the NASEN Buyers Club or be in contact with NASEN at all. Further, many Buyers Club members have declined to be listed in the NASEN directly, usually as a direct consequence of the policy environment in which they operate. Despite overwhelming evidence in support of this public health intervention, 18 states had still not explicitly legalized SSPs as recently as 2019. Still more are facing aggressive opposition from local leaders who are motivated by ideological bias to hinder the operation of these evidence-based programs. Consequently, it cannot be assumed that the group of SSPs listed in the NASEN Directory and those SSPs “missing” from the directory are comparable. The NASEN Directory came into existence when the Harm Reduction movement in the United States was largely comprised of individuals, mutual aid collectives, ad-hoc associations, and volunteer organizations that were engaged in the practice, then mostly unsanctioned or illegal, of providing new, sterile, drug injection equipment to people who inject drugs. A major goal was to slow and stop the transmission of Human Immunodeficiency Virus (HIV), the virus that causes AIDS, via the practice of sharing or reusing injection equipment. The NASEN Directory began as a collection of information shared among SSPs and early harm reduction practitioners to enable communication among syringe exchange proponents, so that they could share information, experiences, frustrations, strategies, and victories within the nascent syringe exchange community in the United States. Early iterations of the NASEN Directory were colloquially referred to as the “NASEN Phone Book.” That Phone Book, quite literally, a phone book: a printed, stapled, alphabetized list of SSPs by state, which was distributed to participants of North American Syringe Exchange Conferences (NASEC). As remains the case today, the early versions included only SSPs that had granted NASEN authorization to include them in the directory. In the mid-1990s, the NASEN Directory was made publicly available, via the NASEN website, to a larger audience. However, this resource remained relatively unknown and rarely accessed by persons outside of harm reduction circles until relatively recently. The current iteration of the online NASEN Directory that appears on the NASEN website (i.e., “the map”) is very different from the pre-2018 iterations (i.e., the “phone book”). Prior to 2018, the NASEN Directory retained much of its earlier, static, “phone book” formatting. Website visitors would be presented with an alphabetical listing of states and territories. Clicking on the name of a state or territory would download a document containing alphabetical listing of the SSPs operating in that state. Post 2018, the online NASEN Directory was overhauled. In addition to providing a more user-friendly interface, NASEN’s modifications reflected the fact that consumers of SSP services had increasingly started to access the Directory in their search for services. Thus, NASEN created a map of SEPs that is searchable by state, services offered, ZIP code, etc. Prior to 2018, the information listed in the NASEN Directory was not systematically updated. When SSP closures or other significant changes in operations were confirmed, NASEN would update the directory. However, no systematic attempt was made to ensure that NASEN Directory data reflected up-to-date information. SSPs closed, relocated, merged, split, changed names, and underwent numerous other operational changes that were not necessarily reflected in the Directory. Since 2018, SSPs listed in the Directory are required to confirm their information as well as their consent to be listed in the Directory on an annual basis. The inclusion of an SSP in any iteration of the NASEN directory does not necessarily coincide with their inception as an SSP, though it may have coincided with their “official” existence. Many SSPs began operating well before they became “official” SSPs. These efforts consisted (and still consist in parts of the United States today) as underground networks of people who use drugs and harm reduction allies who engage in unsanctioned syringe exchange--distributing harm reduction supplies as an act of civil disobedience and avoiding detection by local authorities. Thus, the date of an SSP’s inclusion in the NASEN directory most often coincides with the decision by the operators of the SSP to publicly acknowledge their harm reduction activities and deal with any potential consequences. Most SSPs begin as ad-hoc groups of committed volunteers responding on a public-health emergency in their communities. To assume no syringe exchange or distribution of sterile injection equipment occurred in any specific location before an “official” SSP appeared (i.e., was included in the NASEN directory) is to fundamentally misunderstand the genesis and history of the founding of most SSPs in the United States. Source: https://lawatlas.org/datasets/syringe-services-programs-laws Close HARM REDUCTION LOCATIONS Disclaimer: This directory includes harm reduction locations that have given NASEN authorization to publish their agency's information. This directory is intended to be used to assist folx seeking harm reduction services to locate an agency by service, city, state, and/or zip code. Please note this is not a comprehensive listing of all harm reduction locations in North America nor is it intended to be. Accuracy: It is the sole responsibility of each agency to keep information and services as up-to-date as possible for the community seeking services. Every agency listed in the NASEN directory will receive 6-month maintenance requests to the email(s) listed on file. If you feel an agency's information needs updating or your agency would like to added to the directory please contact us. Join our buyer's clubJoin our directoryCalifornia ClearinghouseProduct Features Powered by Google Übersetzer ZIP Code State State... Alberta (0 SSPs)Alaska (5 SSPs)Alabama (1 SSPs)Arkansas (2 SSPs)Arizona (14 SSPs)British Columbia (0 SSPs)California (67 SSPs)Colorado (14 SSPs)Connecticut (9 SSPs)District of Columbia (4 SSPs)Delaware (1 SSPs)Florida (6 SSPs)Micronesia (0 SSPs)Georgia (7 SSPs)Hawaii (2 SSPs)Iowa (1 SSPs)Idaho (5 SSPs)Illinois (14 SSPs)Indiana (12 SSPs)Kansas (0 SSPs)Kentucky (35 SSPs)Louisiana (6 SSPs)Massachusetts (15 SSPs)Manitoba (0 SSPs)Maryland (9 SSPs)Maine (8 SSPs)Marshall Islands (0 SSPs)Michigan (36 SSPs)Minnesota (15 SSPs)Missouri (4 SSPs)Northern Marianas (0 SSPs)Mississippi (0 SSPs)Montana (5 SSPs)New Brunswick (0 SSPs)North Carolina (33 SSPs)North Dakota (6 SSPs)Nebraska (0 SSPs)New Hampshire (9 SSPs)New Jersey (5 SSPs)Newfoundland and Labrador (0 SSPs)New Mexico (5 SSPs)Nova Scotia (0 SSPs)Nevada (2 SSPs)New York (25 SSPs)Ohio (22 SSPs)Oklahoma (3 SSPs)Ontario (0 SSPs)Oregon (13 SSPs)Pennsylvania (7 SSPs)Prince Edward Island (0 SSPs)Puerto Rico (3 SSPs)Palau (0 SSPs)Quebec (0 SSPs)Rhode Island (2 SSPs)South Carolina (4 SSPs)South Dakota (0 SSPs)Saskatchewan (0 SSPs)Tennessee (8 SSPs)Texas (8 SSPs)Utah (6 SSPs)Virginia (4 SSPs)Virgin Islands (0 SSPs)Vermont (4 SSPs)Washington (30 SSPs)Wisconsin (16 SSPs)West Virginia (8 SSPs)Wyoming (0 SSPs) Type Type... Undisclosed (0 SSPs) One-to-one (103 SSPs) One+ (51 SSPs) Need-based (245 SSPs) Secondary (1 SSPs) Mobile (20 SSPs) Community Naloxone (6 SSPs) Services Service... Benzo Test Strips (12 SSPs) Case Management/Coordinated Care (222 SSPs) Community Trainings/Education (379 SSPs) COVID-19 Testing (16 SSPs) Delivery Services (158 SSPs) Drop-in center (124 SSPs) Drug Checking (6 SSPs) Fentanyl Test Strips/Education (329 SSPs) Hepatitis A Vaccination (81 SSPs) Hepatitis C Testing/Education (360 SSPs) HIV testing/Education (384 SSPs) LGBTQ Services (177 SSPs) Low-Barrier Suboxone Induction (9 SSPs) Mail-based Serices (9 SSPs) MAT Education/Referrals (352 SSPs) MAT/Suboxone Treatment (7 SSPs) Naloxone Distribution/Overdose Ed. (504 SSPs) PEP (82 SSPs) Plan B, Pregnancy Tests (10 SSPs) PrEP (121 SSPs) Safe Sex Items (403 SSPs) Safer Smoking Supplies (58 SSPs) Sex Worker-specific Services (5 SSPs) STI Testing Treatment (166 SSPs) Syringe Services (513 SSPs) Wound Care Services (243 SSPs) Xylazine Test Strips (45 SSPs) Filter Showing 541 SSPs HARM REDUCTION LOCATIONSCITYSTATEA Betor Way SSPMemphisTNAccess HOPEMashpeeMAAccess NorthwestMancelonaMIACCESS PointSterling HeightsMIAccess Point Colorado SpringsColorado SpringsCOAccess Point Fort CollinsFort CollinsCOAccess Point Grand JunctionGrand JunctionCOAccess Point of Georgia IncAthensGAAccess Point PuebloPuebloCOAccess PointsBrooklyn ParkMNACR Health Expanded Syringe Access ProgramSyracuseNYACTHartfordCTAdair County Syringe Exchange ProgramColumbiaKYAdvanced Behavioral ConceptsFresnoCAAfter Hours ProjectBrooklynNYAgape ProjectBlackwoodNJAHOPE: Boston Public Health CommissionBostonMAAIDS Care Ocean State Prevention CenterProvidenceRIAIDS Center of Queens CountyNew YorkNYAIDS Leadership Foothills area Alliance (ALFA) operating the Foothills area Harm Reduction MissionHickoryNCAIDS Project of Southern Vermont BenningtonBenningtonVTAIDS Project of Southern Vermont BrattleboroBrattleboroVTAIM MSE ProgramPhiladelphiaPAAllen County Department of Health SSPFort WayneINAlliance for Living Syringe Access ProgramNew LondonCTAlliance LES Harm Reduction CenterNew YorkNYalpha SNEPBoiseIDAny Positive Change IncLower LakeCAAny Positive Change Project of Grand ForksGrand ForksNDApex Syringe Service ProgramDanburyCTArapahoe County Health DepartmentAuroraCOASGCC FalmouthFalmouthMAASGCC HyannisHyannisMAASGCC Martha's VineyardVineyard HavenMAASGCC ProvincetownProvincetownMAAsian American Drug Abuse Program IncInglewoodCAASN Syringe Services ProgramSalinasCAAspire Indiana Health HARPAndersonINBad River-Gwayakobimaadiziwin Exchange ProgramOdanahWIBaltimore County Department of Health Harm Reduction ProgramBaltimoreMDBaltimore Harm Reduction CoalitionBaltimoreMDBath County Syringe ExchangeOwingsvilleKYBeing Alive Los AngelesWest HollywoodCABeloveds CommUNITY InitiativeRed SpringsNCBelow Sea Level AidNew OrleansLABenton County Harm Reduction ProgramCorvallisORBerkeley County Harm Reduction ProgramMartinsburgWVBerkeley County Harm Reduction Program- Mobile SiteFalling WatersWVBerkeley Free ClinicBerkeleyCABerkshire Harm ReductionNorth AdamsMABienestarLos AngelesCABirches FoundationMount AiryNCBlue Mountain Heart To HeartWalla WallaWABoots on the GroundBellevilleMIBourbon County Syringe Service ProgramParisKYBoyle County Health Department Syringe ExchangeDanvilleKYBracken County Health Department SSPBrooksvilleKYBrandywine CounselingWilmingtonDEBread for the CityWashingtonDCBreaking Chains Mobile Harm ReductionGreat FallsMTBreathitt County SSPJacksonKYBronx MóvilNew YorkNYBroome County Prevention PointJohnson CityNYBucket City Harm ReduxMurfreesboroTNButler County SSPHamiltonOHButte Syringe Services ProgramButteMTCarePointDaytonOHCarroll County Health CenterCarrolltonKYCarter County Syringe ExchangeGraysonKYCasa de SaludAlbuqerqueNMCecil County Health Department Harmony ProgramElktonMDCentral Arkansas Harm ReductionLittle RockARCHA Syringe Services ProgramKannapolisNCChallenges Inc SCPiedmontSCCharm City Care ConnectionBaltimoreMDCHCV Syringe Services ProgramNew HavenCTCheboygan/Prevention ProjectCheboyganMIChenango County Prevention PointNorwichNYChicago Recovery AllianceChicagoILChippewa County Health Department Syringe Access ProgramSault Ste. MarieMIChristian County Health DepartmentHopkinsvilleKYChurch of Safe Injection - MaineLewistonMEChurch of Safe Injection-ArizonaTucsonAZClallam County Health and Human Services Syringe Service Program - ForksForksWAClark County Harm Reduction ProgramWinchesterKYClark County Health Department Needle Exchange ProgramWinchesterKYClark County Indiana Syringe Services ProgramJeffersonvilleINClark County Public Health's Syringe Services Harm Reduction CenterVancouverWAClay County Health Department - KYManchesterKYClean Needles NowLos AngelesCAClean WorksGrand RapidsMIClermont County Public Health SSPBataviaOHClinic 555 Syringe ExchangeSaint PaulMNCMS SITEYumaAZCochise Harm ReductionBisbeeAZCommon Ground Syringe ExchangeVeniceCACommunity Action for Social JusticeHauppaugeNYCommunity Health Awareness GroupDetroitMICommunity RecoveryLewistonMEConcord Area Syringe ExchangeConcordNHConfluence HRKCKansas CityMOConnecticut Harm Reduction AllianceHartfordCTConnection CafeConnersvilleINCorazon Harm ReductionSan AntonioTXCowlitz Family Health Center Harm Reduction ProgramKelsoWACP-DAACSanta RosaCACYLINK (Cornerstone Youth Living and Independence Network for Knowledge)SEATTLEWADamien Harm Reduction and SSPIndianapolisINDAP Health Harm Reduction ProgramPalm SpringsCADeer Isle-Stonington ExchangeDeer IsleMEDeschutes County Harm Reduction ProgramBendORDetroit Recovery Street Team ProjectDetroitMIDose of HopeMesaAZDrug Safe Solano Syringe Exchange ProgramVallejoCADubuque Harm ReductionDubuqueIADuneys DefenseCantonILEGYHOPOlympiaWAekiM for ChangeGreenvilleNCEl Punto en la Montaña, IncSan JuanPRElliott County Syringe ExchangeSandy HookKYEspanola Harm Reduction OfficeEspañolaNMEvergreen ExchangeJamestownNYExchange CentralMt PleasantMIFace to FaceSanta RosaCAFairfield Harm Reduction ProgramFairfieldOHFamily Medical Counseling Service IncWashingtonDCFamily Services Network of New YorkBrooklynNYFamily Services Network of New York Harm Reduction ProgramBrooklynNYFLASHWest Palm BeachFLFlorida Harm Reduction InitiativeTallahasseeFLFloyd County HARM ReductionPrestonsburgKYFort Belknap Syringe Service ProgramHarlemMTFour A's Syringe Access ProgramAnchorageAKFranklin County Syringe ExchangeFrankfortKYFrederick County Health Department’s Street Safe ProgramFrederickMDFRESH WorksAlexandriaLAFresno Needle Exchange ProgramFresnoCAFund for Empowerment (harm reduction supplies only)PhoenixAZFyrebird RecoveryMyrtle BeachSCGallatin County Health CenterWarsawKYGateway to Hope Syringe Services ProgramLafayetteINGather Church Harm Reduction ProgramFords PrairieWAGender Health Center's Syringe ExchangeSacramentoCAGenerations ProjectFremontCAGeorgia Harm Reduction CoalitionAtlantaGAGeorgia Harm Reduction Coalition - Cooper CenterStone MountainGAGeorgia Harm Reduction Coalition- Lyla CenterWoodstockGAGlide Syringe Access Services (SAS)San FranciscoCAGood Neighbor Project-BeulahBeulahNDGood Neighbor Project-MandanMandanNDGoodWorks: North AL Harm ReductionHuntsvilleALGrant County Syringe Service ProgramMoses LakeWAGraves County ExchangeMayfieldKYGrays Harbor Syringe ServiceAberdeenWAGreater Bridgeport Area Prevention ProgramBridgeportCTGreenbrier County Health Department Harm Reduction ProgramRonceverteWVGroups Recover TogetherOwensboroKYGuilford County Solution to the Opioid Problem (GCSTOP)High PointNCHand-Up Health ServicesRochesterNHHarlem United SSP BronxBronxNYHarlem United SSP BrooklynBrooklynNYHarlem United Syringe Exchange ProgramNew YorkNYHarm Reduction & Syringe Access Program - GreenfieldGreenfieldMAHarm Reduction & Syringe Access Program - SpringfieldSpringfieldMAHarm Reduction - Hamilton Lake RdNewberryMIHarm Reduction - Hombach StSt. IgnaceMIHarm Reduction - MobileMackinac IslandMIHarm Reduction - Prospect StMunisingMIHarm Reduction - Walnut StreetManistiqueMIHarm Reduction Action CenterDenverCOHarm Reduction CenterBuffaloNYHarm Reduction Center Syringe Services ProgramFargoNDHarm Reduction Circle - IrvineIrvineCAHarm Reduction ClinicBataviaOHHarm Reduction Coalition of Santa Cruz CountySanta CruzCAHarm Reduction Distribution (HRD) ServicesEugeneORHarm Reduction Health CenterPort AngelesWAHarm Reduction Institute (HRI)Santa AnaCAHarm Reduction ProgramHuntingtonWVHarm Reduction ServicesRochesterNYHarm Reduction ServicesSacramentoCAHarm Reduction Services ProgramSan DiegoCAHarm Reduction SistersDuluthMNHARM:LESSClinton TownshipMIHarrisburg Harm Reduction ProjectHarrisburgPAHarrison County Needle Exchange ProgramGeorgetownKYHawai'i Health & Harm Reduction CenterHonoluluHIHealth Brigade Comprehensive Harm Reduction ProgramRichmondVAHealth Care for the HomelessBaltimoreMDHealth Equity AllianceEllsworthMEHealth Promotion Syringe ExchangeMilwaukeeWIHealthfinders SSPFaribaultMNHealthy Streets Outreach Program- LynnLynnMAHepatitis Education Project (HEP)SeattleWAHigh Rockies Harm ReductionGlenwood SpringsCOHighland Hospital Emergency Department and Bridge ClinicOaklandCAHIPSWashingtonDCHIV/HCV Resource CenterLebanonNHHolistic Harm ReductionAtlantaGAHoller Harm ReductionMarshallNCHomeless Health Care Los AngelesLos AngelesCAHomer Exchange dba Megan's PlaceHomerAKHOPE in the ValleyBakersfieldCAHope StreetElktonMDHopkins County Health Department Syringe Exchange ProgramMadisonvilleKYHoward County Harm Reduction and Peer Recovery ProgramColumbiaMDHumboldt Area Center for Harm ReductionArcataCAIdaho Harm Reduction ProjectBoiseIDIDEA Exchange TampaTampaFLIDEA Miami Syringe Services ProgramMiamiFLIDEA OrlandoWinter ParkFLiKnowMineAnchorageAKIn N' OutMinneapolisMNIndia Street Harm Reduction CenterPortlandMEIndiana Recovery Alliance MCSSPBloomingtonINIndigenous Peoples Task Force Syringe ExchangeMinneapolisMNInland Empire Harm ReductionRiversideCAInsubordination Station Harm ReductionDoverNHIntercambios Puerto Rico, IncFajardoPRInterior AIDS AssociationFairbanksAKInternational Falls ExchangeInternational FallsMNIntricate MindsSpringfieldILIsland County Public Health Syringe ExchangeLangleyWAJackson County Syringe Exchange ProgramMedfordORJefferson County Public HealthPort TownsendWAJessamine County Syringe Service ProgramNicholasvilleKYJOLT Foundation Harm ReductionPeoriaILKalamazoo Harm ReductionKalamazooMIKeene Serenity Center: GROWKeeneNHKingman Harm Reduction Program (KHRP)KingmanAZKings County Syringe Exchange ProgramHanfordCAKnox County Syringe Service ProgramBarbourvilleKYLa Plata County Public Health Department Harm Reduction DepartmentDurangoCOLancaster Harm Reduction ProjectLancasterPALansing Syringe AccessLansingMILatah Recovery CenterMoscowIDLaurel County Harm ReductionLondonKYLewis County Harm ReductionWestonWVLexington-Fayette County Health DepartmentLexingtonKYLifepointAustinTXLifePoint - MarquetteMontelloWILighthouse StudiesBaltimoreMDLIHC SSPSusanvilleCALincoln County Harm ReductionNewportORLincoln County Harm Reduction Syringe Exchange ProgramStanfordKYLitchfield County Opioid Task ForceTorringtonCTLive Free - ClaiborneTazewellTNLive4LaliArlington HeightsILLorain County Harm Reduction ClinicLorainOHLouisville Metro Syringe Services ProgramLouisvilleKYLummi Harm ReductionBellinghamWAMadison & Dane County - Syringe Services ProgramMadisonWIMadison County Harm Reduction Program - BereaBereaKYMadison County Harm Reduction Program - RichmondRichmondKYMadison County SEPAndersonINMaine Access Points Syringe Access ProgramsMachiasMEMalheur County PRIME+OntarioORManet Community Outreach and Prevention ServicesQuincyMAMarion Public Health - Safe Syringe ProgramMarionOHMartindale ClinicSalt Lake CityUTMax's on WheelsMedfordORMcCreary County SSPWhitley CityKYMetroHealth Expanded Mobile Unit SSPClevelandOHMid Fairfield AIDS ProjectNorwalkCTMiddletown Harm Reduction ProgramMiddletownOHMinnesota COPEMcgregorMNMinnesota Transgender Health CoalitionMinneapolisMNMinot Good Neighbor SSPMinotNDMobile Prevention TeamBostonMAMoNetworkSt LouisMOMono County Harm Reduction ProgramMammoth LakesCAMultnomah County Health Department, Harm Reduction ProgramPortlandORN.I.C.E. ProjectAustinTXNationz Foundation Comprehensive Harm Reduction ProgramRichmondVANEEDBerkeleyCANeedle Exchange Program of FranklinFranklinNCNeighborhood Healthcare Harm Reduction ProgramEscondidoCANever Share Syringe Service Program(SSP)EllensburgWANew Mexico Harm Reduction CollaborativeAlbuquerqueNMNew Orleans Syringe Access ProgramNew OrleansLANew PointsKingsfordMINew York Harm Reduction EducatorsNew YorkNYNEXT Distro - CACANEXT Distro - MIMINEXT Distro - NVNVNEXT Distro - NYNYNICE Project - East Cesar ChavezAustinTXNICE Project - Menchaca RoadAustinTXNICE Project - Webberville RoadAustinTXNMHRCAlbuquerqueNMNo More O.D.s, Inc.SavannahGANorth Carolina Harm Reduction Coalition CumberlandCumberland CountyNCNorth Carolina Harm Reduction Coalition DurhamNCNorth Carolina Harm Reduction Coalition HaywoodClydeNCNorth Carolina Harm Reduction Coalition VanceVanceNCNorth Carolina Harm Reduction Coalition WakeRaleighNCNorth Carolina Harm Reduction Coalition WilmingtonWilmingtonNCNorth Coast AIDS ProjectEurekaCANorth Idaho Alliance of Care (NIAC)Coeur d'AleneIDNortheast Tri County Health's Syringe Services ProgramColvilleWANortheast Tri-County Health DistrictColvilleWANorthern Sierra Harm Reduction Program95971CANorthern Valley Harm Reduction CoalitionChicoCANorthwest Arkansas Harm ReductionFayettevilleARNorthwest Ohio Syringe ServicesToledoOHOasis Community Outreach Atlantic CityAtlantic CityNJOkanogan County Syringe Exchange ProgramOkanoganWAOKHRATulsaOKOn PointLa MesaCAOne Voice RecoverySalt Lake CityUTOne Voice Recovery Mobile Delivery SSPBrentwoodCAONESTOP Harm Reduction CenterGloucesterMAOnPoint NYCNew YorkNYOpen Aid Alliance MissoulaMissoulaMTOpen Aid Alliance PolsonPolsonMTOperation in My Back YardKensingtonPAOutside InPortlandOROverdose LifelineIndianapolisINOwen County Harm Reduction Syringe Exchange ProgramOwentonKYPacific Pride FoundationSanta BarbaraCAPartnership to End AIDS Status, IncMemphisTNPascua Yaqui Tribal ExchangeTucsonAZPendleton County Harm Reduction ProgramFalmouthKYPeople's Harm Reduction AllianceSeattleWAPhoenix RISE Mobile Syringe ExchangeMt. VernonWAPHRA, Ostrich bayBremertonWAPlanned Humanity Syringe Exchange ProgramWinonaMNPoints of HopeWest BranchMIPoints of HOPE GastoniaGastoniaNCPoints of HOPE HickoryHickoryNCPoints of HOPE LincolntonLincolntonNCPoints of HOPE ShelbyShelbyNCPoints of HOPE StatesvilleStatesvilleNCPoints West Syringe Services ProgramLakewoodCOPort City Harm ReductionWilmingtonNCPortland Needle Exchange ProgramPortlandMEPortland People's Outreach ProjectPortlandORPrevention and Harm Reduction ProgramWailukuHIPrevention PointGeorgetownOHPrevention Point PittsburghPittsburghPAPrevention Point Program AKA: Prevention PointWashingtonNCPrevention Point Syringe Exchange ProgramPhiladelphiaPAProgram RISEFraminghamMAProject AccessBattle CreekMIProject Exchange - PlattsburghPlattsburghNYProject ME-FW IncorporatedFort WayneINProject NEONSeattleWAProject Weber/RENEWProvidenceRIProyecto SEPMayaguezPRPublic Health Sauk CountyBarabooWIPulaski County Syringe Exchange ProgramSomersetKYPunks with LunchOaklandCAPunks with Lunch LansingLansingMIQueen City Harm Needle Exchange, NCCharlotteNCRCPHD Good Neighbor ProgramRollaNDREAL About AddictionAnchorageAKRebel PHXPhoenixAZRecovery OasisWest BranchMIRIGS Harm ReductionYpsilantiMIRIOT PhxPhoenixAZRisk Reduction OutreachWillimanticCTRitter CenterSan RafaelCARiver City Harm ReduxRichmond/Central VirginiaVARobert Clewis CenterSeattleWARowan County Syringe ExchangeMoreheadKYRubiela M Collins ExchangeKingsportTNRural AIDS Action Network DuluthDuluthMNRural AIDS Action Network MankatoMankatoMNRural AIDS Action Network VirginiaVirginiaMNRutherford Mobile HRT (Harm Reduction Team)Forest CityNCSafe Point in MemphisMemphisTNSafe Point OhioColumbusOHSafe Point San DiegoSan DiegoCASafe Points Syringe ExchangeSacramentoCASafe Recovery - 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Jersey CityJersey CityNJSyringe Services Program of WorcesterWorcesterMASyringe Trade Education Program of TN ChattanoogaChattanoogaTNTacoma Needle ExchangeTacomaWATaylor County Harm Reduction ProgramGraftonWVTCAPMurphysboroILTennessee Harm ReductionJacksonTNTexas Harm Reduction AllianceAustinTXThe Anchor Holds, IncSpring HopeNCThe Centers Syringe Services ProgramClevelandOHThe DoorwayDoverNHThe Everly ProjectPortlandORThe ExchangeUkiahCAThe ExchangeAshlandKYThe Exchange BakersfieldBakersfieldCAThe Exchange ProjectCincinnatiOHThe HIV Education and Prevention Project of Alameda CountyOaklandCAThe Hope ExchangeWilliamstonNCThe HOPE Project - BaldwinBaldwinMIThe HOPE Project - Big RapidsBig RapidsMIThe HOPE Project - CadillacCadillacMIThe HOPE Project - GraylingGraylingMIThe HOPE Project - HartHartMIThe HOPE Project - KalkaskaKalkaskaMIThe HOPE Project - LudingtonLudingtonMIThe HOPE Project - ManisteeManisteeMIThe HOPE Project - NewaygoNewaygoMIThe LIGHT ProgramMorgantownWVThe Next Step Needle ExchangeAugustaMEThe Perfectly Flawed Foundation Harm Reduction ProgramLaSalleILThe Philadelphia CenterShreveportLAThe Porchlight CollectiveAltonILThe Prevention ProjectAlpenaMIThe Prevention Resource NetworkAsbury ParkNJThe Puerto Rico ProjectChicagoILThe Sidewalk ProjectLos AngelesCAThe Spahr CenterSan RafaelCAThe SPOT BrowardOakland ParkFLThe Steady CollectiveAshevilleNCThe TSt. LouisMOThe Works Program - Boulder CountyBoulderCOThe Works Program - Longmont CountyLongmontCOThurston County Syringe Services ProgramOlympiaWATillamook County Harm Reduction & Syringe Services ProgramTillamookORTompkins County Prevention PointIthacaNYTPAN (Test Positive Aware Network)ChicagoILTrac-B ExchangeLas VegasNVTrans:ThriveSan FranciscoCATransforming Reentry ServicesChicagoILTrillium Health Mobile Syringe ServicesRochesterNYTrivium Life ServicesBoiseIDTrystereoNew OrleansLATTC Syringe Services ProgramResedaCATwin City Harm Reduction CollectiveWinston-SalemNCUp North Harm ReductionLakeheadCAUtah Harm Reduction CoalitionMidvaleUTUtah NaloxoneSalt Lake CityUTUwharrie Harm Reduction InitiativeAlbemarleNCValhalla PlaceBrooklyn ParkMNValley StreetzModestoCAVelNonArtLancasterCAVentura County Syringe Replacement Program VC-SRPOxnardCAVermont Cares Harm Reduction ServicesSt JohnsburyVTVeteran Affairs DanvilleDanvilleILVivent Health AppletonAppletonWIVivent Health BeloitBeloitWIVivent Health DenverDenverCOVivent Health Eau ClaireEau ClaireWIVivent Health Green BayGreen BayWIVivent Health KenoshaKenoshaWIVivent Health La CrosseLa CrosseWIVivent Health MadisonMadisonWIVivent Health MilwaukeeMilwaukeeWIVivent Health SuperiorSuperiorWIVivent Health WausauSchofieldWIWarren County SSPBowling GreenKYWellness Services, IncFlintMIWellness WednesdaysBellefontaineOHWest Texas Harm ReductionAbileneTXWhatcom County Syringe Exchange ProgramBellinghamWAWheeling-Ohio County Health Department Needle Exchange ProgramWheelingWVWhitman County Public Health Needle Exchange - 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