Crisis pregnancy center (CPC) billboards, found along highways in every state, typically feature language along the lines of “Pregnant? Confused? We can help,” a photo of a young woman, and a phone number.

But critics say the people and organizations behind the centers are the ones confusing pregnant women, delaying them from getting an abortion or prenatal care.

The National Institute of Family and Life Advocates (NIFLA), an umbrella organization based in Fredericksburg, Virginia, and the other major umbrella organizations, Heart Beat International and CareNet, are associated with more than 3500 CPCs, according to a 2017 report from NARAL-Pro-Choice America. That’s more than twice the number of US institutions that performed at least 1 abortion in 2014, a number that declined 3% between 2011 and 2014, according to a report from the Guttmacher Institute.