EXHIBIT 21.1
 Subsidiaries of Psychiatric Solutions, Inc.
 State ofName
    
    OrganizationABSFirst Step, Inc.
    
    VirginiaFirst Step-DavidsonFirst Step-GeorgiaThe Bridge InstituteTidewater Residential InstituteABS LINCS DC, LLC
    
    VirginiaABS LINCS KY, Inc.
    
    VirginiaFHC Cumberland HallABS LINCS, LLC
    
    VirginiaABS LINCS NJ, Inc.
    
    VirginiaFirst Home CareABS LINCS PA, Inc.
    
    VirginiaAlternative Management ServicesFirst Home CareABS LINCS SC, Inc.
    
    South CarolinaABS LINCS TN, Inc.
    
    VirginiaCumberland Hall  ChattanoogaABS LINCS TX, Inc.
    
    KentuckyDallas Treatment Center, Inc.ABS LINCS VA, Inc.
    
    VirginiaFirst Home CareAlliance Crossings, LLC
    
    DelawareThe CrossingAlliance Health Center, Inc.
    
    MississippiAlliance Health CenterAlternative Behavioral Services, Inc.
    
    VirginiaArrowhead Behavioral Health, LLC
    
    DelawareAtlantic Shores Hospital, LLC
    
    DelawareBehavioral Educational Services, Inc.
    
    DelawareFieldston Preparatory SchoolHorace Mann AcademyRamsay Educational ServicesRiverdale Country SchoolBehavioral Healthcare LLC
    
    DelawareBenchmark Behavioral Health System, Inc.
    
    UtahBriarwood Group Home RenoBriarwood Group Home Las VegasBHC Alhambra Hospital, Inc.
    
    TennesseeBHC Belmont Pines Hospital, Inc.
    
    TennesseeBHC Cedar Vista Hospital, Inc.
    
    CaliforniaBHC Fairfax Hospital, Inc.
    
    TennesseeBHC Fort Lauderdale Hospital, Inc.
    
    TennesseeBHC Fox Run Hospital, Inc.
    
    TennesseeFox Run: The Center for Children and AdolescentsBHC Fremont Hospital, Inc.
    
    TennesseeBHC Health Services of Nevada, Inc.
    
    NevadaBHC Heritage Oaks Hospital, Inc.
    
    TennesseeBHC Holdings, Inc.
    
    DelawareBHC Intermountain Hospital, Inc.
    
    TennesseeBHC Management Services of Louisiana, LLC
    
    Delaware




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State ofName
    
    OrganizationBHC Management Services of New Mexico, LLC
    
    DelawareBHC Management Services of Streamwood, LLC
    
    DelawareBHC Mesilla Valley Hospital, LLC
    
    DelawareBHC Montevista Hospital, Inc.
    
    NevadaBHC Northwest Psychiatric Hospital, LLC
    
    DelawareBrooke Glen Behavioral HospitalBHC of Indiana, General Partnership
    
    N/ABHC Pinnacle Pointe Hospital, Inc.
    
    TennesseePinnacle Pointe Behavioral Healthcare SystemThe Pointe Outpatient Behavioral Health ServicesBHC Properties, LLC
    
    TennesseeBHC Sierra Vista Hospital, Inc.
    
    TennesseeBHC Spirit of St. Louis Hospital, Inc.
    
    TennesseeBHC Streamwood Hospital, Inc.
    
    TennesseeNorthwest AcademyStreamwood Behavioral Health CenterStreamwood HospitalStreamwood Residential CenterBloomington Meadows, General Partnership
    
    N/ABrentwood Acquisition, Inc.
    
    TennesseeBrentwood Behavioral Health of MississippiBrentwood Acquisition-Shreveport, Inc.
    
    DelawareBrentwood Acute Behavioral Health CenterBrentwood Behavioral Healthcare of LouisianaBrentwood HospitalBrynn Marr Hospital, Inc.
    
    North CarolinaBrynn Marr Behavioral Health Care SystemBy the Sea Physician Practice, LLC
    
    GeorgiaCalvary Center, Inc.
    
    DelawareCalvary CenterCanyon Ridge Hospital, Inc.
    
    CaliforniaCanyon Ridge Real Estate, LLC
    
    DelawareCedar Springs Hospital, Inc.
    
    DelawareCedar Springs Behavioral Health SystemCedar Springs Hospital Real Estate, Inc.
    
    ColoradoCentennial Peaks Hospital, LLC
    
    DelawareChildrens Hospital of Vicksburg, L.L.C.
    
    LouisianaChildrens Treatment Solutions, LLC
    
    TennesseeCollaborative Care LLC
    
    TennesseeColumbus Hospital, LLC
    
    DelawareColumbus Hospital Partners, LLC
    
    TennesseeBHC Columbus HospitalCommunity Cornerstones, Inc.
    
    Puerto RicoCompass Hospital, Inc.
    
    DelawareCompass HospitalCrawford First Education, Inc.
    
    VirginiaCumberland Hospital, LLC
    
    VirginiaCumberland Barton HouseCumberland Capital CottageCumberland HospitalCumberland Magnolia HouseCumberland Peninsula Group HomeCumberland Segar HouseCumberland Hospital Partners, LLC
    
    Delaware




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State ofName
    
    OrganizationCypress Creek Real Estate, L.P.
    
    TexasDelaware Investment Associates, LLC
    
    DelawareDiamond Grove Center, LLC
    
    DelawareEmerald Coast Behavioral Hospital, LLC
    
    DelawareFHCHS of Puerto Rico, Inc.
    
    Puerto RicoFirst Corrections Puerto Rico, Inc.
    
    Puerto RicoFirst Hospital Corporation of Nashville
    
    VirginiaFirst Hospital Corporation of Virginia Beach
    
    VirginiaFHC  TPI Health SystemsVirginia Beach Psychiatric CenterFirst Hospital Panamericano, Inc.
    
    Puerto RicoFort Lauderdale Hospital, Inc.
    
    FloridaFort Lauderdale HospitalFoundations for Home and Community, Inc.
    
    VirginiaFriends Behavioral Health System, L.P.
    
    PennsylvaniaFriends GP, LLC
    
    PennsylvaniaGreat Plains Hospital, Inc.
    
    MissouriHeartland Behavioral Health ServicesGulf Coast Treatment Center, Inc.
    
    FloridaGulf Coast Preparatory SchoolH. C. Corporation
    
    AlabamaH. C. Partnership
    
    N/AHill Crest Behavioral Health ServicesHavenwyck Hospital Inc.
    
    MichiganHavenwyck HospitalHHC Augusta, Inc.
    
    GeorgiaLighthouse Care Center of AugustaHHC Berkeley, Inc.
    
    South CarolinaLighthouse Care Center of Berkeley CountyHHC Conway Investment, Inc.
    
    South CarolinaLighthouse Care Center of ConwayHHC Cooper City, Inc.
    
    FloridaLighthouse Care Center of Cooper CityHHC Delaware, Inc.
    
    DelawareFocus HealthcareFocus Healthcare of DelawareMeadowWood Behavioral Health SystemsMeadowWood HospitalHHC Focus Florida, Inc.
    
    FloridaFocus HealthcareFocus Healthcare at High PointFocus Healthcare of FloridaFocus High PointHigh PointHighpointHorizon Health at High PointHigh Point Treatment CenterHHC Indiana, Inc.
    
    IndianaKokomo Counseling CenterMichiana Behavioral Health CenterMichiana Counseling CenterHHC Kingwood Investment, LLC
    
    DelawareHHC Oconee, Inc.
    
    South CarolinaLighthouse Care Center of Oconee, Inc.




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State ofName
    
    OrganizationHHC Ohio, Inc.
    
    OhioLaurelwood Counseling Center of BeachwoodLaurelwood Counseling Center of MentorLaurelwood HospitalWindsor Laurelwood Center for Behavioral MedicineHHC Pennsylvania, LLC
    
    PennsylvaniaFriends Behavioral HospitalHHC Poplar Springs, Inc.
    
    VirginiaPoplar PlacePoplar Springs AcademyPoplar Springs HospitalPoplar Transitions of Shenandoah ValleyRecovery Center of RichmondHHC River Park, Inc.
    
    West VirginiaRiver Park HospitalHHC Services, LLC
    
    TexasHHC South Carolina, Inc.
    
    South CarolinaHHC St. Simons, Inc.
    
    GeorgiaFocus by the SeaFocus Healthcare of GeorgiaSt. Simons-by-the-SeaHHMC Partners, Inc.
    
    DelawareHickory Trail Hospital, L.P.
    
    DelawareHickory Trail HospitalHigh Plains Behavioral Health, L.P.
    
    DelawareHMHM of Tennessee, LLC
    
    TennesseeHolly Hill Hospital, LLC
    
    TennesseeHolly Hill Real Estate, LLC
    
    North CarolinaHorizon Health Austin, Inc.
    
    TexasAustin Lakes HospitalHorizon Health Corporation
    
    DelawareHorizon HealthHorizon Health Hospital Services, LLC
    
    DelawareHorizon Health Physical Rehabilitation Services, LLC
    
    DelawareHorizon Mental Health Management, LLC
    
    TexasHorizon Behavioral Health ServicesHorizon Behavioral ServicesHSA Hill Crest Corporation
    
    AlabamaHSA of Oklahoma, Inc.
    
    OklahomaHughes Center, LLC
    
    VirginiaHughes Center for Exceptional ChildrenIndiana Psychiatric Institutes, LLC
    
    DelawareInfoScriber Corporation
    
    DelawareIntegrated Healthcare Systems Corp.
    
    Puerto RicoKids Behavioral Health of Alaska, Inc.
    
    AlaskaKids Behavioral Health of Utah, Inc.
    
    UtahCopper Hills Youth CenterKingwood Pines Hospital, LLC
    
    TexasKMI Acquisition, LLC
    
    DelawareKolburne School, LLC
    
    DelawareLakeland Behavioral, LLC
    
    FloridaLaurel Oaks Behavioral Health Center, Inc.
    
    DelawareLaurel Oaks Behavioral Health CenterLaurelwood Associates, Inc.
    
    Ohio




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State ofName
    
    OrganizationLaurelwood Associates Trust
    
    OhioLebanon Hospital Partners, LLC
    
    TennesseeLiberty Point Behavioral Healthcare, LLC
    
    DelawareMental Health Outcomes, LLC
    
    DelawareMesilla Valley Hospital, Inc.
    
    New MexicoMesilla Valley Mental Health Associates, Inc.
    
    New MexicoMichigan Psychiatric Services, Inc.
    
    MichiganMillwood Hospital, L.P.
    
    TexasMillwood HospitalMission Vista Behavioral Health Services, Inc.
    
    DelawareMission Vista Geriatric Behavioral Health SystemNashville Rehab, LLC
    
    TennesseeNeuro Institute of Austin, L.P.
    
    TexasTexas NeuroRehab CenterTexas Star Recovery ProgramNorth Spring Behavioral Healthcare, Inc.
    
    TennesseeNorthern Indiana Partners, LLC
    
    TennesseeOcala Behavioral Health, LLC
    
    DelawareThe VinesPalmetto Behavioral Health Holdings, LLC
    
    DelawarePalmetto Behavioral Health Solutions, L.L.C.
    
    South CarolinaPalmetto Behavioral Health System, L.L.C.
    
    South CarolinaPalmetto Lowcountry Behavioral Health, L.L.C.
    
    South CarolinaPalmetto Pee Dee Behavioral Health, L.L.C.
    
    South CarolinaPeak Behavioral Health Services, LLC
    
    DelawareHigh ImpactPeak Behavioral HealthPremier Behavioral Solutions, Inc.
    
    DelawarePremier Behavioral Solutions of Florida, Inc.
    
    DelawarePreparatory School of the National Deaf Academy, Inc.
    
    FloridaPride Institute, Inc.
    
    MinnesotaPride InstitutePSI Surety, Inc.
    
    South CarolinaPSJ Acquisition, LLC
    
    North DakotaPrairie St. JohnsPsychiatric Management Resources, Inc.
    
    CaliforniaPMR Psychiatric Management Resources, Inc.Psychiatric Solutions Hospitals, LLC
    
    DelawarePsychiatric Solutions of Virginia, Inc.
    
    TennesseeJefferson Trail Treatment Center for ChildrenWhisper Ridge at LeesburgWhisper Ridge Behavioral Health SystemPsychManagement Group, Inc.
    
    West VirginiaRamsay Managed Care, LLC
    
    DelawareRamsay Youth Services of Georgia, Inc.
    
    DelawareMacon Behavioral Health SystemMcIntosh Youth Development CampusRamsay Youth Services Puerto Rico, Inc.
    
    Puerto RicoBayamon Detention Center (Centro Detencion Juvenil de Bayamon)Red Rock Behavioral Health LLC
    
    DelawareRed Rock Solutions, LLC
    
    DelawareRiveredge Hospital Holdings, Inc.
    
    DelawareRiveredge Hospital, Inc.
    
    Illinois




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State ofName
    
    OrganizationRiveredge HospitalRiveredge Real Estate, Inc.
    
    IllinoisRockford Acquisition Sub, Inc.
    
    IllinoisRock River AcademyRolling Hills Hospital, LLC
    
    TennesseeNashville Rehabilitation HospitalSamson Properties, LLC
    
    FloridaServicios Conductuales del Caribe, Inc.
    
    Puerto RicoShadow Mountain Behavioral Health System, LLC
    
    DelawareOklahoma Treatment CenterShadow Mountain Behavioral Health SystemShadow Mountain Behavioral Healthcare SystemSHC-KPH, LP
    
    TexasKingwood Pines HospitalSomerset, Incorporated
    
    CaliforniaSP Behavioral, LLC
    
    FloridaSandy PinesSpringfield Hospital, Inc.
    
    DelawareLincoln Prairie Behavioral Health CenterSummit Oaks Hospital, Inc.
    
    New JerseySummit HospitalSunstone Behavioral Health, LLC
    
    TennesseeTBD Acquisition, LLC
    
    DelawareThe Brook Hospital  DupontThe Brook Hospital  KMITBJ Behavioral Center, LLC
    
    DelawareRiver Point Behavioral HealthTexas Cypress Creek Hospital, L.P.
    
    TexasCypress Creek HospitalTexas Hospital Holdings, Inc.
    
    DelawareTexas Hospital Holdings, LLC
    
    TexasTexas Laurel Ridge Hospital, L.P.
    
    TexasLaurel Ridge Treatment CenterTexas Ridge HospitalTexas Oaks Psychiatric Hospital, L.P.
    
    TexasThe Oaks Treatment CenterTexas Oaks Psychiatric Hospital Real Estate, L.P.
    
    TexasTexas San Marcos Treatment Center, L.P.
    
    TexasSan Marcos Treatment CenterTexas San Marcos Treatment Center Real Estate, L.P.
    
    TexasTexas West Oaks Hospital, L.P.
    
    TexasWest Oaks HospitalThe Charter School of the National Deaf Academy, Inc.
    
    FloridaThe Counseling Center of Middle Tennessee, Inc.
    
    TennesseeThe National Deaf Academy, LLC
    
    FloridaNational Deaf AcademyThe Pines Residential Treatment Center, Inc.
    
    VirginiaThe PinesTherapeutic School Services, L.L.C.
    
    OklahomaThree Rivers Behavioral Health, LLC
    
    South CarolinaThree Rivers Behavioral HealthThree Rivers Healthcare Group, LLC
    
    South CarolinaThree Rivers Residential Treatment | Midlands Campus, Inc.
    
    South CarolinaThree Rivers Residential/Midlands Campus




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State ofName
    
    OrganizationThree Rivers SPE Holding, LLC
    
    South CarolinaThree Rivers SPE, LLC
    
    South CarolinaThree Rivers SPE Manager, Inc.
    
    South CarolinaToledo Holding Company, LLC
    
    DelawareTransitional Care Ventures, Inc.
    
    DelawareTucson Health Systems, Inc.
    
    DelawareUniversity Behavioral, LLC
    
    FloridaUniversity Behavioral CenterValle Vista Hospital Partners, LLC
    
    TennesseeValle Vista, LLC
    
    DelawareVirgin Islands Behavioral Services, Inc.
    
    VirginiaVirgin Islands Behavioral ServicesWekiva Springs Center, LLC
    
    DelawareWekiva SpringsWellstone Holdings, Inc.
    
    DelawareWellstone Regional Hospital Acquisition, LLC
    
    IndianaWest Oaks Real Estate, L.P.
    
    TexasWillow Springs, LLC
    
    DelawareWindmoor Healthcare Inc.
    
    FloridaWindmoor Healthcare of ClearwaterWindmoor Intervention NetworkWindmoor Healthcare of Pinellas Park, Inc.
    
    DelawareZeus Endeavors, LLC
    
    Florida