Located within an inner-city historic neighborhood, Baltimore Behavioral Health provides community-based mental health services to ambulatory adults with addictions and co-occurring disorders. Renovations to the existing structure included comprehensive systemic improvements for all base buildings systems, code compliance, ADA accessibility, improvements to support facilities and the development of a network of public reception, administrative and private offices for work groups and a multipurpose conference center for corporate and community use. Sustainable “green” materials were used throughout. Feasibility concepts reprogramed adjacent buildings and added a new cafeteria building to serve meals to the underprivileged.