**Exhibit 4.1e**

**FIFTH SUPPLEMENTAL INDENTURE**

THIS FIFTH SUPPLEMENTAL INDENTURE dated as of April 27, 2007among CRC Health Corporation, a Delaware corporation (the “Company”), the Guarantors, Camp Huntington Inc., a New York corporation (the “New Guarantor”) and U.S. Bank National Association, as trustee (the“Trustee”). 

WHEREAS, the Company and the Guarantors have heretofore executed and delivered to the Trustee an indenturedated as of February 6, 2006 (the “Indenture”), providing for the issuance of $200 million aggregate principal amount of the Company’s 10.75% Senior Subordinated Notes due 2016 (the “Notes”), assupplemented by the First Supplemental Indenture, dated as of July 7, 2006 (the “First Supplemental Indenture”), the Second Supplemental Indenture, dated as of September 28, 2006 (the “Second SupplementalIndenture”), the Third Supplemental Indenture, dated as of October 24, 2006 (the “Third Supplemental Indenture”), and the Fourth Supplemental Indenture, dated as of November 17, 2006 (the “FourthSupplemental Indenture”); 

WHEREAS, the Company and the Guarantors propose to further amend and supplement the Indenture to jointhe New Guarantor, an indirect subsidiary of the Company, as a party to the Indenture, as a Guarantor thereunder; 

WHEREAS, pursuant toSection 8.01 of the Indenture, the Company and the Trustee may amend, waive or supplement the Indenture, the Notes or the Guarantees without the consent of any Holders to make any change that would provide additional rights or benefits to theholders of Notes or that does not adversely affect the legal rights under the Indenture of any such holder; 

WHEREAS, the Company, eachGuarantor and the New Guarantor have been authorized by their respective board of directors, managers, members, partners, or general partners, as applicable, to enter into this Fifth Supplemental Indenture; 

WHEREAS, all other acts and proceedings required by law, by the Indenture and by the respective certificates of incorporation, certificates of formation,limited liability company agreements, partnership agreements, limited partnership agreements, by-laws and other organizational documents of the Company, each Guarantor and the New Guarantor to make this Fifth Supplemental Indenture a valid andbinding agreement for the purposes expressed herein, in accordance with its terms, have been duly performed; 

WHEREAS, pursuant toSection 8.06 of the Indenture, the Trustee is authorized to execute and deliver this Fifth Supplemental Indenture; 

WHEREAS, theCompany hereby requests that the Trustee execute and deliver this Fifth Supplemental Indenture; 

NOW, THEREFORE, for in consideration ofthe premises herein contained and in order to effect the proposed amendment to join the New Guarantor to the Indenture pursuant to Section 8.01 of the Indenture, the Company, the New Guarantor and the Guarantors agree with the Trustee asfollows: 

ARTICLE I 

Amendment of Indenture

1.1. Amendment of Indenture. As of the date hereof, this FifthSupplemental Indenture amends the Indenture by joining the New Guarantor as a party to the Indenture, as a Guarantor thereunder. 

1.2.Execution and Delivery of Note Guarantee. Upon the effectiveness of this Fifth Supplemental Indenture, the New Guarantor agrees that a notation of its Guarantee substantially in the form attached as Exhibit G to the Indenture, will beendorsed by a duly authorized officer of the New Guarantor on each Note authenticated and delivered by the Trustee under the Indenture. 

ARTICLE II 

Miscellaneous Provisions

2.1. Instruments to be Read Together. This Fifth Supplemental Indenture is an indenture supplemental to and in implementation of the Indenture, and said Indenture, the First Supplemental Indenture, the SecondSupplemental Indenture, the Third Supplemental Indenture the Fourth Supplemental Indenture and this Fifth Supplemental Indenture shall henceforth be read together. 

2.2. Confirmation. The Indenture as amended and supplemented by the First Supplemental Indenture, the Second Supplemental Indenture, the Third Supplemental Indenture, the Fourth Supplemental Indenture andfurther amended and supplemented by this Fifth Supplemental Indenture is in all respects confirmed and preserved. 

2.3. TermsDefined. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture. 

2.4.Counterparts. This Fifth Supplemental Indenture may be signed in any number of counterparts each of which so executed shall be deemed to be an original, but all such counterparts shall together constitute but one and the same instrument.

2.5. Effect of Headings. The section headings herein are for convenience only and shall not affect the construction hereof.

2.6. Effectiveness. The provisions of this Fifth Supplemental Indenture will take effect immediately upon execution thereof by theparties hereto. 

2.7. Trust Indenture Act Controls. If any provision of this Fifth Supplemental Indenture limits, qualifies orconflicts with another provision that is required by or deemed to be included in this Fifth Supplemental Indenture by the Trust Indenture Act, the required or incorporated provision shall control. 

 

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2.8. Governing Law. **THIS FIFTH SUPPLEMENTAL INDENTURE SHALL BE GOVERNED BY AND CONSTRUED INACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, AS APPLIED TO CONTRACTS MADE AND PERFORMED WITHIN THE STATE OF NEW YORK.**

2.9.Trustee. The Trustee makes no representations as to the validity or sufficiency of this Fifth Supplemental Indenture. The recitals and statements herein are deemed to be those of the Company, the Guarantors and the New Guarantor and not ofthe Trustee. 

*[the remainder of this page intentionally left blank]*

 

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IN WITNESS WHEREOF, the undersigned have executed this Fifth Supplemental Indenture this 27th day ofApril, 2007. 

 

CRC HEALTH CORPORATION

By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

**CORPORATE SUBSIDIARIES:**
4therapy.com NETWORK

ADVANCED TREATMENT SYSTEMS, INC.

ATS OF CECIL COUNTY, INC.

ATS OF DELAWARE, INC.

ATS OF NORTH CAROLINA, INC.

BATON ROUGE TREATMENT CENTER, INC.

BECKLEY TREATMENT CENTER, INC.

BGI OF BRANDYWINE, INC.

BOWLING GREEN INN OF PENSACOLA, INC.

BOWLING GREEN INN OF SOUTH DAKOTA, INC.

CAPS OF VIRGINIA, INC.

CARTERSVILLE CENTER, INC.

CHARLESTON TREATMENT CENTER INC.

CLARKSBURG TREATMENT CENTER, INC.

COMPREHENSIVE ADDICTION

PROGRAMS, INC.

CORAL HEALTH SERVICES, INC.

CRC ED TREATMENT, INC.

CRC HEALTH OREGON, INC.

CRC HEALTH TENNESSEE, INC.

CRC RECOVERY, INC.

EAST INDIANA TREATMENT CENTER, INC.

EVANSVILLE TREATMENT CENTER INC.

GALAX TREATMENT CENTER, INC.

GREENBRIER TREATMENT CENTER, INC.

HUNTINGTON TREATMENT CENTER, INC.

INDIANAPOLIS TREATMENT CENTER, INC.

JAYCO ADMINISTRATION, INC.

JEFF-GRAND MANAGEMENT CO., INC.

KANSAS CITY TREATMENT CENTER, INC.

By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

**CORPORATE SUBSIDIARIES (cont.):**

MINERAL COUNTY TREATMENT CENTER, INC.

MWB ASSOCIATES-MASSACHUSETTS, INC.

NATIONAL SPECIALTY CLINICS, INC.

NSC ACQUISITION CORP.

PARKERSBURG TREATMENT CENTER, INC.

RICHMOND TREATMENT CENTER, INC.

SAN DIEGO HEALTH ALLIANCE

SHELTERED LIVING INCORPORATED

SIERRA TUCSON INC.

SOBER LIVING BY THE SEA, INC.

SOUTHERN INDIANA TREATMENT CENTER INC.

SOUTHERN WEST VIRGINIA TREATMENT CENTER, INC.

SOUTHWEST ILLINOIS TREATMENT CENTER, INC.

STONEHEDGE CONVALESCENT CENTER, INC.

TRANSCULTURAL HEALTH DEVELOPMENT, INC.

TREATMENT ASSOCIATES, INC.

VIRGINIA TREATMENT CENTER, INC.

VOLUNTEER TREATMENT CENTER, INC.

WCHS OF COLORADO (G), INC.

WCHS, INC.

WHEELING TREATMENT CENTER, INC.

WHITE DEER REALTY, LTD.

WHITE DEER RUN, INC.

WICHITA TREATMENT CENTER INC.

WILLIAMSON TREATMENT CENTER, INC.

WILMINGTON TREATMENT CENTER, INC.

By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
**CORPORATE SUBSIDIARIES (cont.):**
ASPEN EDUCATION GROUP, INC.

ASPEN YOUTH, INC.

AYS MANAGEMENT, INC.

AHS OF IDAHO, INC.

CAMP HUNTINGTON INC.

LONE STAR EXPEDITIONS, INC.

SUWS OF THE CAROLINAS, INC.

WILDERNESS THERAPY PROGRAMS, INC.

MOUNT BACHELOR EDUCATIONAL CENTER, INC.

NEW LEAF ACADEMY, INC.

NORTHSTAR CENTER, INC.

SUNHAWK ACADEMY OF UTAH, INC.

TALISMAN SCHOOL, INC.

TEXAS EXCEL ACADEMY, INC.

TURN-ABOUT RANCH, INC.

YOUTH CARE OF UTAH, INC.

By:
 
 
Name: Kevin HoggeTitle: Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

**LIMITED LIABILITY COMPANY SUBSIDIARIES:**
ACADEMY OF THE SIERRAS, LLC

EATING DISORDER VENTURE, LLC

ADIRONDACK LEADERSHIP EXPEDITIONS, LLC

ASPEN ACHIEVEMENT ACADEMY, LLC

FOUR CIRCLES RECOVERY CENTER, LLC

OUTBACK THERAPEUTIC EXPEDITIONS, LLC

PASSAGES TO RECOVERY, LLC

TALISMAN SUMMER CAMP, LLC

ASPEN RANCH, LLC

BROMLEY BROOK SCHOOL, LLC

CEDARS ACADEMY, LLC

COPPER CANYON ACADEMY, LLC

ISLAND VIEW RESIDENTIAL TREATMENT CENTER, LLC

NEW LEAF ACADEMY OF NORTH CAROLINA, LLC

ASPEN INSTITUTE FOR BEHAVIORAL ASSESSMENT, LLC

OAKLEY SCHOOL, LLC

SWIFT RIVER ACADEMY, L.L.C.

By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

SAN DIEGO TREATMENT SERVICES

By:
 Jayco Administration, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
By:
 Treatment Associates, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

CALIFORNIA TREATMENT SERVICES

By:
 Jayco Administration, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
By:
 Treatment Associates, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

MILWAUKEE HEALTH SERVICES SYSTEM
By:
 WCHS, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
By:
 Coral Health Services, Inc.
Its:
 Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

THE CAMP RECOVERY CENTERS, L.P.
By:
 CRC Recovery, Inc.
Its:
 General Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
By:
 CRC Health Corporation
Its:
 Limited Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

STONEHEDGE CONVALESCENT CENTER LIMITED PARTNERSHIP
By:
 Stonehedge Convalescent Center, Inc.
Its:
 General Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
By:
 Comprehensive Addiction Programs, Inc.
Its:
 Limited Partner
By:
 
 

Name:
 Kevin Hogge
Title:
 Chief Financial Officer
 

[Signature Page to Fifth Supplemental Indenture] 

U.S. BANK NATIONAL ASSOCIATION, as Trustee

By:
 
 

Name:
 
Title:
 
 

[Signature Page to Fifth Supplemental Indenture]