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Apply for Housing

Take the first step toward a safe, supportive environment. Fill out the form below and we’ll be in touch soon.

Your Full Name *

First

Last

Email Address *

State You Currently Live In *

Which location are you looking for housing in? *

Pennsylvania (Philadelphia area)
Pennsylvania (Scranton area)
Tennessee (Nashville area)
Indiana (Indianapolis area)
Open to any location

Gender *

Male
Female

You Number treatment

Are you currently in treatment or do you need treatment services? *

Yes — I am currently in treatment
No — I recently completed treatment
I need a referral for treatment

How long have you been sober? *

Less than 30 days
30–90 days
90 days – 6 months
6 months – 1 year
Over 1 year

When do you need housing? *

Anything else we should know?

Share any additional context about your situation, support needs, or questions.

Text or Call Now to Reserve a Space in Our Tanquil Ways House

(610) 472-9101

Home
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Our Homes
House Rules
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Home
About Us
Our Homes
House Rules
Contact Us
Blog

Pennsylvania · Tennessee · Indiana | tranquilwayshouse@gmail.com | (610) 472-9101

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