Add/Edit Listings

Complete this form to submit changes to a current listing or submit a new listing. If you are submitting an edit, you may complete only the section that needs to be updated and we will replace your current listing with the new information.

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Your personal information will not be shared with outside individuals and will only be used if further clarification is needed re: any information you have provided.

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Please indicate the populations your services are specifically designed for.


Please indicate the types of payment that are accepted.



  Expanded Medicaid:
  Private Insurers:

  
Services:
Please check all services and sub-types offered.

Outpatient Counseling

  Outpatient Counseling type:


  MAT type:


  RSS type:


  Primary care service setting:


Please share any comments you may have related to the edits or new listing you have submitted.

Edits/new listings will be updated within two weeks of a submitted request.