The Tacoma Needle Exchange, established in 1988 by Dave Purchase, is one of the pioneering syringe services programs (SSPs) in the United States. It operates under the Dave Purchase Project and is affiliated with the North American Syringe Exchange Network (NASEN), which provides support and resources to SSPs across the country. The NASEN Directory, the oldest and most comprehensive list of SSPs in the US, includes selected organizations that have consented to be listed and are likely members of the NASEN Buyers Club. However, it is important to note that the directory does not represent all SSPs operating in the country and does not imply the absence of syringe exchange activities in areas not listed.
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