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Washington
In 2014, Pathways of Washington was offered a contract with Washington State Department of Social and Health Services (DSHS) to provide Expanded Community Services (ECS). ECS started in Spokane County and has since grew to serving adults throughout the Eastern and Central Washington counties of Spokane, Whitman, Stevens, Asotin, Grant, Chelan, Douglas, Franklin, Walla Walla, Columbia and Benton.