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Group Home (Residential Level III) Application Forms

My Brother’s House, Inc. welcomes your request for group home services. Please download and complete the following forms to apply and/or place a youth in our Youth Residential Treatment Facilities.

Residential Treatment Services Forms
  • MBH INC Application
  • MBH Inc Intake Assessment
  • MBH Inc. Placement Assessment
  • MBH Inc. Therapy Application
  • CUSTOMER SERVICE SURVEY RESPONSE

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  • About
  • Residential Treatment +
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News & Updates

Welcome to Our New Website

Welcome To My BROTHER'S House, Inc. Welcome to our digital home. For over 25 years, we have been … Read More »

Providing Hope and a Future for the Youth of North Carolina

My BROTHER'S House is a North Carolina approved Residential Treatment (Level III) and Therapeutic Foster Care Placement agency located in Charlotte, NC. We are here to provide support and a safe, nurturing environment for the youth who some would consider "at-risk." We aim to lower the risk and be the catalyst of change, inspiration and success for kids who have experienced challenges early in life.
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Licensed By

ncdhhs-logo This agency is accredited by CARFNationally accredited by CARF, International since 2010

SMC Service Areas

Smoky Mountain Center LME (Residential & Foster Care) Service Area by County: Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes and Yancey

Cardinal Service Areas

Cardinal Innovations LME (Residential Treatment) Service Area by County: Alamance, Caswell, Franklin, Granville, Halifax, Vance, Warren, Mecklenburg, Orange, Person, Chatham, and Piedmont

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