Prestera Center For Mental Health Services, Inc.

Prestera Center For Mental Health Services, Inc., doing business as Prestera Health Services, is a tax-exempt nonprofit organization based in Barboursville, West Virginia, that operates as both a federal grant recipient for community mental health and substance abuse services and as a service provider on GSA facility-maintenance contracts. The organization's federal footprint splits between grant work (54% of recent awards as prime recipient) anchored in behavioral health programming and smaller-dollar facility services (46% as sub-recipient and prime on service contracts), with the vast majority of potential value concentrated in GSA custodial and grounds-maintenance task orders rather than clinical grant work.

Prestera's grant portfolio centers on SAMHSA Center for Mental Health Services programs and HUD Continuum of Care funding. Recent prime grants include a $113,743 HUD Continuum of Care (CFDA 14.267) award effective November 2025 through October 2026 to provide permanent supportive housing, rapid rehousing, and homeless prevention services in Barboursville; a $1 million HRSA Federal Office of Rural Health Policy Rural Communities Opioid Response Program grant (awarded September 2022, completion August 2026) to expand medication-assisted treatment access across six rural West Virginia counties; a SAMHSA Assertive Community Treatment Initiative grant (awarded September 2023, completion September 2028) establishing a high-fidelity ACT program for transition-aged youth and adults with serious mental illness or emotional disturbance in Kanawha and Putnam counties; and a SAMHSA Community Mental Health Center Integration and Advancement (CCBHC-IA) Initiative grant (awarded September 2022, completion September 2026) to enhance clinical capacity across eight counties in West Virginia. Prestera also receives sub-awards from West Virginia Department of Health and Human Resources, West Virginia Department of Human Services, Division of Emergency Management, Marshall University Research Corporation, and other state entities for mental health crisis response, peer recovery support specialist roles, substance use disorder treatment and prevention, and related behavioral health services.

Customer concentration is heavily tilted toward HHS SAMHSA (49 awards in the top tier of the source's portfolio snapshot, though the portfolio summary lists distinct line-item counts that reflect overlapping program designations) and GSA Public Buildings Service Region 3 (24 awards, $10.6 million combined potential value). HUD's Assistant Secretary for Community Planning and Development appears as third-largest by award count (23 awards). The discrepancy between award count and potential value reflects Prestera's dual role: SAMHSA grant awards are individually larger and fund clinical programming, while GSA work is predominantly small-dollar facility maintenance. GSA accounts for roughly $11.6 million of the $13.3 million combined potential value across all 203 awards in the portfolio, driven by 26 task orders under GSA Indefinite Delivery Contract GS03P05CDC0002CD and 9 task orders under GSA Blanket Purchase Agreement GS03P00CDC0016 — work consisting of janitorial services, snow removal, and grounds maintenance at federal facilities, primarily the Sidney L. Christie Federal Building and U.S. Courthouse in Huntington, West Virginia.

The vendor's award portfolio reflects minimal recompete pressure: only six awards with ultimate completion dates in the next twenty-four months. Activity has been relatively consistent over the past five years, with 24 awards in 2022 rising to a peak of 35 in 2024 before declining to 21 in 2025 and 2 in the first quarter of 2026 (the source covers through mid-March). The combined dollars obligated across all awards ($108.9 million) substantially exceeds combined potential value ($13.3 million), indicating that invoiced performance on older grants — particularly multi-year SAMHSA and HUD awards — has generated the bulk of reimbursement over time.

Prestera's NAICS profile tilts heavily toward Janitorial Services (59 awards) and Housekeeping PSCs (46 awards for custodial work, 8 for snow removal, 7 for landscaping), with only two awards coded to Residential Mental Health and Substance Abuse Facilities and one to Outpatient Mental Health and Substance Abuse Centers. This classification pattern reflects the federal contracting system's framing of Prestera's work: the organization delivers integrated community mental health programming and substance abuse treatment as a clinically licensed nonprofit, but its federal contract footprint is dominated by facilities-services work on the GSA schedule, while its clinical grant work flows through SAMHSA and state pass-through mechanisms. Sub-award work is almost entirely routed through West Virginia state agencies (DHHR, DHS, Division of Emergency Management) and regional entities, with sub-grants supporting peer recovery specialists, crisis response teams, medication-assisted treatment expansion, and youth mental health intervention.