We're only a phone call away...


Primary care, dental care, and behavioral health with service icons


COMTREA - A Place Where You can Learn and Grow!

Staff helping an intern on their computer  Staff teaching a young professional  Young dentist

COMTREA offers a wonderful intern program that is designed to give students supervised, practical experience within the profession. Students are able to integrate and synthesize theories and techniques learned in the classroom in a real work setting. We help develop personal qualities, characteristics, and behaviors of professionals, while promoting the transition from "trainee" to "professional practitioner." 

Divisions of COMTREA Intern Program

Behavioral Health | Dental Care | Primary Care

We contract with area schools to provide these services.  Please check with your faculty advisors to ensure we have a contract in place with your school.

Our Behavioral Health division offers multiple services to both children and adults ranging from counseling to psychiatric services. We offer internships and/or practicums for counseling as well as social work.


  • 600 Hours and 2 Semesters

For more information, please contact Rachel Pourchot at 636-931-2700 ext. 4367

Our Dental Care division offers services to both children and adults. We have multiple dental offices in the community and provide school-based care as well as a mobile MAP clinic. We offer internships for student dentists as well as for dental hygienists and dental assistants.

For more information, please contact Dr. Courtney Garland at 636-931-2700 ext. 1616

Our Primary Care division offers both adult and pediatric services to the Jefferson County community. We have three locations in the county, High Ridge, Hillsboro, and House Springs. We offer internships and/or preceptorships for nursing students and nurse practitioners.

For more information, please contact either Christian Hayes at 636-931-2700 ext. 1510 or Jacklyn Lowry at 636-931-2700 ext. 1639.

 Get your foot in the door and get ready to SHINE!



Receive free insurance coverage services from our trained staff who are available to assist you in:

  • Filing appeals and exemptions
  • Requesting a special enrollment period
  • Medicaid, CHIP, or Marketplace plan re-enrollment/renewals
  • Social service, pharmacy, or other assistance programs
  • Understanding and utilizing insurance
  • One-on-one customizable education sessions about affordable insurance coverage options

Coverage Options

Medicaid (MO Health Net) 

Missouri’s Medicaid program is called MO HealthNet. MO HealthNet covers qualified medical expenses for individuals who meet certain eligibility requirements. Eligible individuals receive a "MO HealthNet Identification Care" or a letter from the Family Support Division identifying them as eligible for certain medical care services.  


Medicare is a health insurance program for people age 65 or older, under age 65 with certain disabilities, and all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Sliding Fee Scale

The sliding fee scale is in place to meet the needs of the uninsured or underinsured, providing reduced costs to most services for those who qualify. No one will be denied access to services at COMTREA, as services are offered regardless of insurance status or ability to pay.  The sliding fee scale includes primary care, dental care, and behavioral health. 

Download the Sliding Fee Scale Application

The Marketplace (Affordable Care Act)

  • The ACA gives subsidies to households that are within certain income ranges. Based on household income.
  • If you are under 30 years old or have a “hardship exemption,” you may be eligible for “catastrophic" health coverage. This kind of insurance shields you from high medical costs if you need a lot of care.
  • You may be entitled to stay on your parent’s policy if you are under 26 years old.
  • Regularly confirm that your physician is still in network. You might pay more for an out-of-network visit.
  • The new health law prohibits insurance carriers from charging you or dependents higher rates for pre-existing conditions or for being female.

Sliding Fee Scale



0-100% Poverty


101-125% Poverty


126-150% Poverty


151-175% Poverty


176-200% Poverty

Family Size Yearly Income Yearly Income Yearly Income Yearly Income Yearly Income
1 $0 - $12,490 $12,491 - $15,613 $15,614 - $18,735 $18,736 - $21,858 $21,859 - $24,980
2 $0 - $16,910 $16,911 - $21,138 $21,139 - $25,365 $25,366 -  $29,593  $29,594 - $33,820
3 $0 - $21,330 $21,331 - $26,663 $26,664 -  $31,995 $31,996 - $37,328 $37,329 - $42,660
4 $0 - $25,750 $25,751 - $32,188 $32,189 - $38,625 $38,626 - $45,063 $45,064 - $51,500
5 $0 - $30,170 $30,171 - $37,713 $37,714 -  $45,225  $45,256 - $52,798 $52,799 - $60,340
6 $0 - $34,590 $34,591 - $43,238 $43,239 - $51,885 $51,886 - $60,533 $60,534 - $69,180
7 $0 - $39,010 $39,011 - $48,763 $48,764 - $58,515 $58,516 - $68,268 $68,269 - $78,020
8 $0 - $43,430 $43,431 - $54,288 $54,289 - $65,145 $65,146 - $76,003 $76,004 - $86,860
Each Additional Person  $0   $4,420 $4,421   $5,525 $5,526   $6,630 $6,631   $7,735 $7,736   $8,840

Primary Care Minimum Charge

$20 $30 $35 $40 $45
Behavioral Health Minimum Charge $20 $30 $35 $40 $45
Dental Care Minimum Charge $40* 30% 40% 45%


No discount is offered for anyone over 200% poverty level based on the federal schedule above. Standard charges apply. Please see front desk for discount application and payment arrangements.

Insurance Providers


Behavioral Health Dental Care Primary Care
Aetna Aetna Aetna
Ambetter Delta Dental Blue Cross Blue Shield
Blue Cross Blue Shield Medicaid Care Improvement
Home State Health Medicare Cigna
Cigna DentaQuest Coventry
Com Psych Envolve Dental Essence
Essence United Health Care Healthlink
Health Link Principal Home State Health
Humana Cigna Humana
Magellan Liberty Dental Medicaid
Medicaid MetLife Medicare
Medicare   Multi Plan
Mercy   United Health Care
Well Care   Tricare
United Health Care    

Additional Resources


For more information, contact us at 636-931-2700 ext. 4418 or 1-877-COMTREA

Mary's House of Hope at A Safe Place logo

“By raising awareness we strive to prevent another family from experiencing our tragedy. Helping other families begin anew is a wonderful way to keep Mary’s memory alive”

Sylvia Daniels, Mary’s Mother

Our Impact


Purple and grey tree with circles providing A Safe Place annual service facts. Domestic violence effects 1 in 4 women. ASP has been empowering victims of domestic abuse for over 30 years. ASP offered 5,717 nights of safety. Over 500 individuals educated about domestic violence. ASP received 1,758 hotline calls. Assisted 1,041 women with obtaining legal services. Provided 4,113 hours of social service/case management, including medical assistance. Provided 890 hours of children’s therapy/group counseling. 1,109 hours of individual therapy for women.

 The Project 

4 transitional houses + 4 families per home

16 families receiving care


Four houses with lines two four families under each house.

GOAL: To transition the women from the emergency shelter (A Safe Place) to independent living, free from abuse and fear for one to two years at Mary’s House of Hope at A Safe Place.

  • The first $750,000 raised will fund the building and furnishing of the first home
  • We will raise 3.5 million to complete the entire project
  • The entire campaign is expected to run for three years.  

MILESTONES: The ground breaking ceremony was held on March 17, 2017.

  • Public water and sewer installed.
  • Site preparation is complete.
  • Raised our NAP tax credits a year and half early from our original due date (December 2019). Final donation received on May 31, 2018.


Why We Will Build


For many of us, our home is the safest place we know, a personal sanctuary where we can retreat and relax. For victims of domestic violence, though, their homes are not havens. Their homes are cocoons of fear. To escape the abuse, battered women and men, and their children, need a comprehensive program of education, therapy and counseling, court advocacy, and above all, a secure environment.

They need A Safe Place.

Our residential program, the only emergency shelter for domestic violence in Jefferson County, provides services to meet the immediate needs of its residents, whether the domestic abuse includes physical, sexual, emotional, verbal, psychological, or the destruction of property or pets. While staying at A Safe Place, victims learn to break the cycle of violence through individual counseling, support groups, education, and comprehensive parenting, fitness and wellness programs. Over time, and through work with a variety of providers who offer their services with dignity and respect, residents replace their feelings of dependency with self-sufficiency. They learn to build their self-esteem, and work on assertiveness, communication and decision-making skills. They receive assistance with nutrition, budgeting, housing options, job searches, and career planning, in addition to full medical, dental, and mental-health services. Because every resident is unique, our program offers individualized plans that coordinate all services, providing the optimal opportunity for each person to be restored to wholeness.

Adults aren’t the only victims of domestic violence. Children who grow up in abusive homes frequently learn violence as an acceptable means of resolving conflict and exerting control. These children are likely to become victims or perpetrators as adults. A Safe Place offers assistance to these youngest victims, through counseling, recreational activities, child play therapy, and art therapy. A Safe Place can even protect the family pet; a Pet Protection Program ensures domestic animal safety, too.

A Safe Place empowers residents and their children to rise above the pain of domestic abuse and begin a new, safer and healthier life, where they can transform from victim to survivor. 

Mary's Story


Mary Daniels lived for years with an abusive husband. She suffered in silence, her fear keeping her behind closed doors and away from those who loved her. Finally, this warm, loving and dedicated mother, daughter, sister and friend, was determined to improve her life and the lives of her two children. She and daughter Lexi, 10, and son Brody, 5, left her abuser and secured a restraining order against him. The restraining order wasn’t enough. Mary’s estranged husband waited for her outside of her work on August 3, 2010, and brutally stabbed her multiple times. She was 30 years old.

Mary Daniels and her two children

After her murder, Mary’s friends and family learned of the great need for additional safe housing for women and children escaping violence. They learned about the need for more awareness and education about domestic abuse. Then, they turned their grief into action. They partnered with COMTREA to raise the funds necessary to build another safe house. This safe house would be the final, transitional step after the shelter of A Safe Place. They would name it Mary’s House of Hope at A Safe Place; it would be another step to save women suffering in abusive relationships from the same fate as their beloved daughter, mother and friend. This committed group of loved ones also focuses on community outreach and education, sharing Mary’s heartbreaking story whenever they can.

The man who killed Mary was convicted on November 9, 2011, of first degree murder and armed criminal action. He was sentenced on December 9 of that year to two life terms without the possibility of parole.

Mary’s loved ones hope her story doesn’t end with just the conviction and imprisonment of her abuser. Mary Daniels meant so much more than a court order and a trial, and they hope her life and tragic death serves as a catalyst to help others in need.

Facts and FAQ


Why is the project being called Mary’s House of Hope? Mary Daniel was a woman from Hillsboro who was killed by her estranged husband in 2010. Mary’s family, friends, and supporters have raised over $100,000 for this project.     Who will manage the facility? COMTREA will own and manage the facility. Mary’s House of Hope is    being constructed on ground adjacent to COMTREA’s A Safe Place.  How much money is needed to build the first housing unit and infrastructure? $1.5 million  How much is needed to complete the entire project? $3.5 million  How many housing units will Mary’s House of Hope at A Safe Place Provide? Each house consists of four units (one single bedroom unit, two 2 bedroom units, and one 3 bedroom unit). When all four houses are completed there will be four one bedroom units, eight 2 bedroom units, and four 3 bedroom units (total of 16 units). In addition, there will be two multipurpose rooms. A playground is adjacent to the facilities.  How long will a family reside in transitional housing? Dependent on the family needs, the family can remain in a unit for up to two years.  How will donors be recognized? Donor recognition levels range from $1 to over $250,000.  All donors will be acknowledged on COMTREA’s Virtual Donor Wall. Additional donor recognition is dependent on amount of gift. Opportunities range from a Certificate of Recognition to Naming Opportunities.    What is the project timeline? The ground breaking ceremony was held on March 17, 2017. Public water and sewer has been installed. Site preparation is complete. We are ready to begin construction on the first four unit plexuses. The entire campaign is expected to run for three years.    Is my donation tax deductible? We are a tax exempt 501(C)3 organization and contributions are deductible (please consult your tax adviser).  Milestones March 17th, 2017 (groundbreaking)  Raised our NAP tax credits a year and half early from our original due date (December 2019). Final donation received on May 31st, 2018.


Volunteer Contact

For more information about Mary's House of Hope at A Safe Place, contact Kim Elbl, VP of Marketing and Fundraising, at 636-232-2339.

24 Hour Crisis Services
Proud member of United Way of Greater St. Louis HRSA Logo Carf Agency

Facebook Logo Instagram Logo Twitter Logo

©2018, COMTREA, All Rights Reserved

COMTREA Main Office: Festus, Missouri

Phone: 636-931-2700   Fax: 636-931-5304  New Patient: 1-877-266-8732

This health center receives HHS funding and has Federal Public Health Services (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

Copyright ©2015 by Community Treatment, Inc. All Rights Reserved. This Web Site (the "COMTREA Site") is operated and maintained by COMTREA, Inc., a Missouri non-profit corporation. The information contained on the COMTREA Site shall be deemed provided in the State of Missouri and subject only to Missouri laws. The information and other materials on the COMTREA Site are provided without charge to you, subject to these Conditions of Use and Legal Notices. If you do not wish to be bound by these Conditions of Use and Legal Notices, please leave and do not use the COMTREA Site. If you access and use the COMTREA Site you will be deemed to have accepted and agreed to all of the Conditions of Use and Legal Notices.

  • Nationally Accredited
  • Professional
  • Private, Not for Profit
  • Confidential