This OPEN MINDS Executive Roundtable was delivered on September 25, 2025, by David Guth, Chief Executive Officer of Centerstone of America and Paul Duck, OPEN MINDSChief Strategy Officer. They explored the leadership and governance strategies behind one of the nation’s largest non-profit behavioral health providers—Centerstone. Through an in-depth interview, they examined how a clear and scalable governance model can enable sustained organizational growth, support mission integrity, and support executives and staff in navigating the complexities of operating in multiple states and payer systems.

The conversation traced Centerstone’s journey from a regional provider to a national . . .

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