substance use disorder - residential and outpatient...

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers Program Service Location Modality Description State Reporting Specifier Level of Care Length of Program State Grantee State Approved Medicaid Provider AEON 4325 Laurel St. #245 Anchorage AK 99508 (907) 562-4608 NO Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 NO Akeela Inc. 360 W Benson Blvd Ste 300 Anchorage AK 99503 (907) 565-1200 YES Akeela House Anchorage Rehabilitation/Residential, Long Term 05 - Adult Residential - SA 3.5 12 months YES Akeela Outpatient - Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Akeela Outpatient - Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES ASAP/JASAP Anchorage YES OCS Engaged Families - Anchorage - Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES OCS Engaged Families - Anchorage - Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Stepping Stones Anchorage Rehabilitation/Residential, Long Term 07 - Women & Children - Residential - SA 3.5 9-12 months YES Wellness Court Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Women & Family Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 13 - Women & Children - Out Patient - SA 2.1 YES Women & Family Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES Fairbanks Intensive Outpatient Fairbanks Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Fairbanks Outpatient Fairbanks Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Kenai Intensive Outpatient Kenai Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Kenai Outpatient Kenai Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Akeela MatSu Intensive Outpatient Mat-Su Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Akeela MatSu Outpatient Mat-Su Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Family Mat-Su - Intensive Outpatient Mat-Su Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Family Mat-Su - Outpatient Mat-Su Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Akeela dba Gateway Center For Human Services 3050 Fifth Ave. Ketchikan AK 99901 (907) 225-4135 NO Adult Intensive Outpatient - SA Ketchikan Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES Adult Outpatient - SA Ketchikan Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES ASAP/JASAP Ketchikan NO KAR House Ketchikan Rehabilitation/Residential, Long Term 17 - Adult Residential - SA 3.5 3-6 months YES Trans Housing Ketchikan Permanent Supportive Housing ICM Outpatient – Non-Intensive 7 - Permanent Supportive Housing - SA N/A YES Youth & Family Outpatient - SA Ketchikan Substance Abuse Outpatient - Non-Intensive Disorder Treatment - SA 1.0 YES Alaska Addiction Rehabilitation Services 26731 West Pt. McKenzie Road Wasilla AK 99687 (907) 376-4534 YES Nugen's Ranch Wasilla Rehabilitation/Residential, Long Term 05 - Adult Residential - SA 3.1 9-12 months YES Alaska Family Services 1825 South Chugach Street Palmer AK 99645 (907) 746-4080 YES Adult and Family Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES Adult and Family Outpatient Palmer Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES Turn Around Youth Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive 10 - Youth & Family Outpatient Substance Use Disorder Treatment - SA 2.1 YES Turn Around Youth Outpatient Palmer Substance Abuse Outpatient - Non-Intensive 10 - Youth & Family Outpatient Substance Use Disorder Treatment - SA 1.0 YES Women With Children Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive 13 - Women & Children - Out Patient - SA 2.1 YES Page 1 of 12 Updated 12/29/2020

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Page 1: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

AEON

4325 Laurel St. #245 Anchorage AK 99508 (907) 562-4608 NO

Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 NO

Akeela Inc.

360 W Benson Blvd Ste 300 Anchorage AK 99503 (907) 565-1200 YES

Akeela House Anchorage Rehabilitation/Residential, Long Term 05 - Adult Residential - SA 3.5 12 months YES

Akeela Outpatient - Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Akeela Outpatient - Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Anchorage YES

OCS Engaged Families - Anchorage - Intensive

Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

OCS Engaged Families - Anchorage - Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Stepping Stones Anchorage Rehabilitation/Residential, Long Term 07 - Women & Children - Residential - SA 3.5 9-12 months YES

Wellness Court Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Women & Family Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 13 - Women & Children - Out Patient - SA 2.1 YES

Women & Family Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES

Fairbanks Intensive Outpatient Fairbanks Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Fairbanks Outpatient Fairbanks Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Kenai Intensive Outpatient Kenai Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Kenai Outpatient Kenai Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Akeela MatSu Intensive Outpatient Mat-Su Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Akeela MatSu Outpatient Mat-Su Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Family Mat-Su - Intensive Outpatient Mat-Su Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Family Mat-Su - Outpatient Mat-Su Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Akeela dba Gateway Center For Human Services

3050 Fifth Ave. Ketchikan AK 99901 (907) 225-4135 NO

Adult Intensive Outpatient - SA Ketchikan Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Adult Outpatient - SA Ketchikan Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Ketchikan NO

KAR House Ketchikan Rehabilitation/Residential, Long Term 17 - Adult Residential - SA 3.5 3-6 months YES

Trans Housing Ketchikan

Permanent Supportive Housing ICM Outpatient –

Non-Intensive 7 - Permanent Supportive Housing - SA N/A YES

Youth & Family Outpatient - SA Ketchikan Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Alaska Addiction Rehabilitation Services

26731 West Pt. McKenzie Road Wasilla AK 99687 (907) 376-4534 YES

Nugen's Ranch Wasilla Rehabilitation/Residential, Long Term 05 - Adult Residential - SA 3.1 9-12 months YES

Alaska Family Services

1825 South Chugach Street Palmer AK 99645 (907) 746-4080 YES

Adult and Family Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Adult and Family Outpatient Palmer Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Turn Around Youth Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 2.1 YES

Turn Around Youth Outpatient Palmer Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Women With Children Intensive Outpatient Palmer Substance Abuse Outpatient - Intensive 13 - Women & Children - Out Patient - SA 2.1 YES

Page 1 of 12 Updated 12/29/2020

Page 2: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Women with Children Outpatient Palmer Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES

Alaska Native Justice Center

3600 San Jeronimo Suite 264 Anchorage AK 99508 (907) 793-3550 NO

ASAP/JASAP Wasilla NO

Alaska Wisdom Recovery

401 International Airport Rd  Ste 17  Anchorage AK 99518 (907) 886-6911 YES

Adult Non-Intensive Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Adult Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Adult Substance Use Day Treatment Anchorage Substance Abuse Day Treatment 16 - Adult - Out Patient - SA 2.5 NO

MAT Anchorage Medication Assisted Treatment 11 - Opioid Treatment Services NO

Anchorage ADIS NO

Aleutian/Pribilof Islands Association Inc.

1131 East International Airport Road Anchorage AK 99518 (907) 276-2700 YES

Outpatient SA Anchorage Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Adult Outpatient - SA St. George St. George Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Outpatient SA Atka Atka Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Outpatient SA Nikolski Nikolski Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Outpatient SA Unalaska Unalalska Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Unalaska NO

Alyeska Counseling Group, LLC

701 W. 41st Ave, Suite 104 Anchorage AK 99503 (907) 782-2553 NO

Substance Use Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 NO

Anchorage Treatment Solutions

121 West Fireweed Lane, Ste. 105 Anchorage AK 99503 (866) 837-4791 YES

Outpatientioid Treatment Services Anchorage OUD Methadone Maintenance - Non Intensive 08 - Outpatientioid Treatment Program - SA 1.0 NO

Bristol Bay Area Health Corporation

6000 Kanakanak Rd. Dillingham AK 99576 (907) 842-5201 YES

Adult Outpatient - SA Dillingham Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

DayTreatment Dillingham Partial Hospital - Adult Day Care 12 - Adult - Out Patient - SA 2.5 YES

Jake's Place Dillingham Dual Diagnosis Residential Mid Term 05 - Adult Residential - SA 3.5 3 months YES

Village Based Services

BBAHC Regional

Communities Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Central Peninsula General Hospital

245 N Binkley Suite 202 Soldotna AK 99669 (907) 714-4521 YES

Adult Outpatient Soldotna Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Care Transitions Soldotna Withdrawal Management / Detox 02 - Detoxification - SA 3.7-WM YES

Intensive Outpatient Soldotna Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Serenity House Soldotna Rehabilitation/Residential, Mid Term 05 - Adult Residential - SA 3.5 6-8 weeks YES

Women & Children Intensive Outpatient Soldotna Substance Abuse Outpatient - Intensive 13 - Women & Children - Out Patient - SA 2.1 YES

Women & Children Outpatient Soldotna Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES

Youth Substance Abuse Soldotna Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

CHOICES Inc.

401 E. Northern Lights Blvd, Suite 211 Anchorage AK 99503 (907) 333-4343 YES

Page 2 of 12 Updated 12/29/2020

Page 3: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Assertive Community Treatment Anchorage

EBP – Permanent Supportive Housing ACT

Outpatient – Non-Intensive 20 - Permanent Supportive Housing - MH N/A YES

Chugachmiut, Inc.

1840 Bragaw Street, Ste 110 Anchorage AK 99508 (907) 562-4155 YES

SA Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Community Medical Services

2521 E. Mountain Village Dr., Ste F Wasilla AK 99654 (907) 290-3760 YES

Community Medical Services Wasilla OUD Methadone Maintenance - Non Intensive 08 - Outpatientioid Treatment Program - SA 1.0 NO

Cook Inlet Council on Alcohol and Drug Abuse

10200 Kenai Spur Hwy. Kenai AK 99611 (907) 283-3658 YES

Homer Adolescent Treatment Homer Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Homer Intensive Outpatient Homer Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Homer Men's Outpatient Treatment Homer Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Homer Women's Outpatient Homer Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES

Intensive Outpatient Kenai Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

Kenai Adolescent Treatment Kenai Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Kenai Men's Outpatient Treatment Kenai Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Kenai Women's Outpatient Kenai Substance Abuse Outpatient - Non-Intensive 13 - Women & Children - Out Patient - SA 1.0 YES

Cook Inlet Tribal Council

3600 San Jeronimo, Suite 210 Anchorage AK 99508 (907) 830-1751 YES

OCS Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

OCS Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Recovery Journey Anchorage Dual Diagnosis Residential Long Term 05 - Adult Residential - SA 3.5 6 months YES

Ch'Wala Youth Recovery Eagle River Dual Diagnosis Residential Long Term 13 - Youth Residential SUD 3.5 6 months YES

Ch'Wala Youth Recovery Anchorage Dual Diagnosis Outpatient - Intensive/Non-Intensive 12 - Youth and Family Outpatient SUD 1.0/2.1 16 weeks YES

Copper River Native Association

MP 111.5 Richardson Highway Copper Center AK 99573 (907) 822-5241 YES

SA Adult Intensive Outpatient

Outpatient

Center Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 YES

SA Adult Outpatient

Outpatient

Center Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Council of Athabascan Tribal Governments

101 Spruce Street Fort Yukon AK 99740 (907) 662-2587 YES

Adult Substance Use Fort Yukon Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Youth Substance Use Fort Yukon Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Creative Living Publications

PO Box 620 Girdwood AK 99587 (907) 345-0107 NO

ASAP/JASAP Correspondence NO

DC Services of Delta Junction Alaska

2288 Deborah Street Delta Junction AK 99727 (907) 873-3353 NO

ASAP Delta Junction NO

Denali Cove Counseling Center

1565 South Bragaw Street Suite 201 Anchorage AK 99501 (907) 263-9326 YES

ASAP Anchorage NO

Denali Cove Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 2.1 NO

Denali Cove Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 NO

Discovery Cove Recovery & Wellness Center

16600 Centerfield Dr. Eagle River AK 99577 (907) 694-5550 NO

Page 3 of 12 Updated 12/29/2020

Page 4: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Adult Substance Use

Anchorage /

Eagle River Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 1.0 NO

Adult Substance Use

Anchorage /

Eagle River Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 2.1 NO

ASAP/JASAP Eagle River NO

Adult Substance Use Kodiak Substance Abuse Outpatient - Intensive 12 - Adult - Out Patient - SA 1.0 NO

Adult Substance Use Kodiak Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 2.1 NO

ASAP/JASAP Kodiak NO

Eastern Aleutian Tribes Inc

5 Main Street Sand Point AK 99661 (907) 497-2311 YES

Adak SUD Adult Adak Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

Adak SUD Youth Adak Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Akutan SUD Adult Akutan Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

False Pass SUD Adult False Pass Substance Abuse Outpatient - Non-Intensive 12 - Adult - Out Patient - SA 1.0 YES

King Cove SA Youth King Cove Substance Abuse Outpatient - Non-Intensive

10 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

King Cove SUD Adult King Cove Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Sand Point Substance Abuse Youth Sand Point Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Sand Point Substance Use Adult Sand Point Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Whittier SUD Adult Whittier Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Fairbanks Native Association

3100 S. Cushman and 2550 Lawlor Road Fairbanks AK 99701 (907) 452-1648 YES

Adult Outpatient Fairbanks Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 No

Ralph Perdue Center South Fairbanks Rehabilitation/Residential, Short Term 17 - Adult Residential - SA 3.1 30 days YES

Ralph Perdue Center Fairbanks Rehabilitation/Residential, Short Term 17 - Adult Residential - SA 3.5 45 days No

ASAP/JASAP Fairbanks Yes

Detox Fairbanks

Detoxification, 24 Hour Service, Free Standing

Residential. 09 - Withdrawal Management - SA 3.7-D YES

GRAF Fairbanks Rehabilitation/Residential, Long Term 13 - Youth Residential - SA 3.5 4-6 months NO

Intensive Outpatient Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 No

Women and Children's Center Fairbanks Rehabilitation/Residential, Long Term 15 - Women & Children - Residential - SA 3.5 4-6 months No

Youth Outpatient Fairbanks

Substance Abuse Outpatient - Intensive and Non-

Intensive 12 - Youth & Family Outpatient - SA 1.0 / 2.1 No

Family Centered Services of Alaska

1825 Marika Road Fairbanks AK 99709 (907) 474-0890 YES

Adolescent Co-Occurring Treatment Fairbanks Substance Abuse Residential - male Adolescents

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 3.5 No

JASAP Fairbanks No

Fresh Start

P.O. Box 55384 Fairbanks AK 99705 (907) 388-3221 NO

Fresh Start Continuing Care Fairbanks Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Page 4 of 12 Updated 12/29/2020

Page 5: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Fresh Start Intensive Outpatient Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Gastineau Human Services

5597 Aisek Street Juneau AK 99801 (907) 780-4338 YES

Intensive Outpatient Juneau Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

JTC Intensive Outpatient Juneau Substance Abuse Outpatient - Intensive 16 - Therapeutic Court - MH & SA 2.1 YES

JTC Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 16 - Therapeutic Court - MH & SA 1.0 YES

Substance Abuse Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Genesis Recovery Services

2825 W. 42nd Aveq Anchorage AK 99517 (907) 243-5130 YES

Genesis Recovery Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Genesis Recovery Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Genesis Recovery House Anchorage Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.1 30+ days NO

Hats of Wisdom

266.5 Richardson Hwy. Delta Junction AK 99737 (907) 803-7022 NO

Substance Use Intensive Outpatient Delta Junction Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Substance Use Outpatient Delta Junction Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Hoonah Indian Association

300-316 Hill St Hoohah AK 99829 (907) 945-3545 NO

SA Outpatient Services Hoohah Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Interior AIDS Association

710 3rd Avenue Fairbanks AK 99701 (907) 452-4222 YES

MAT Intensive Outpatient Fairbanks OUD Methadone Maintenance - Intensive 11 - Opioid Treatment Services 2.1 YES

MAT Outpatient Fairbanks OUD Methadone Maintenance - Non Intensive 11 - Opioid Treatment Services 1.0 YES

MAT Taper Fairbanks OUD Methadone Detox, Long Term 11 - Opioid Treatment Services 1.0 YES

Jett Morgan Treatment Services, LLC

400 W. Tudor Rd. #A-400 Anchorage AK 99501 (907) 677-7709 YES

ASAP Anchorage NO

Jett Morgan Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Jett Morgan Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Juneau Youth Services

2075 Jordan Avenue Juneau AK 99803 (907) 789-7610 YES

SA Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 14 - Women & Children - Out Patient - SA 1.0 YES

SA Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 14 - Women & Children - Out Patient - SA 2.1 YES

Kenaitze Indian Tribe

110 N. Willow Street Kenai AK 99611 (907) 335-7200 YES

Adult Chemical Dependency Kenai Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Youth Chemical Dependency Kenai Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Ketchikan Indian Community

2960 Tongass Ave Ketchikan AK 99901 (907) 228-4917 YES

ASAP/JASAP Ketchikan NO

Tribal Addictions Program - Non-Intensive Adult Ketchikan Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Page 5 of 12 Updated 12/29/2020

Page 6: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Tribal Addictions Program - Youth Ketchikan Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Kodiak Area Native Association

3449 E. Rezenoff Drive Kodiak AK 99615 (907) 486-9800 YES

ASAP/JASAP Kodiak NO

Intensive Outpatient Treatment Kodiak Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Substance Abuse Treatment Outpatient Kodiak Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Maniilaq Behavioral Health

437 5th and Ted Stevens Way Kotzebue AK 99752 (907) 442-7400 YES

SA Adult Outpatient Kotzebue Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Mountain Minds Matter

P.O. Box 1189 Girdwood AK 99587 (907) 382-6477 NO

Substance Abuse Girdwood Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA N/A NO

Narcotic Drug Treatment Center Inc.

520 4th Ave, Ste 102 Anchorage AK 99501 (907) 276-6430 YES

Center for Drug Problems Outpatient Anchorage OUD Methadone Maintenance - Non Intensive 11 - Opioid Treatment Services 1.0 YES

National Council on Alcoholism and Drug Dependence

211 Fourth Street, Suite 102 Juneau AK 99801 (907) 463-3755 YES

Adult Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Juneau NO

Continuing Care Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Youth Outpatient Juneau Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Ninilchik Traditional Council

15765 Kingsley Road Ninilchik AK 99639 (907) 567-3370 YES

Substance Abuse Counseling Ninilchik Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

North Slope Borough DHSS

1250 Agvik Street Barrow AK 99723 (907) 852-0366 YES

Substance Abuse Treatment Outpatient Barrow Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

North Star Behavioral Health Systems: Arctic Recovery

1650 S Bragaw St. Anchorage AK 99508 (907) 433-7326 YES

Arctic Recovery Anchorage, AK Detoxification Experience of active withdrawal symptoms 4.0 3 - 7 days NO

Arctic Recovery Anchorage, AK Rehabilitation

Experience of withdrawal symptoms/propensity to

regress 3.7 7-14 days NO

North Star Behavioral Health Systems: Chris Kyle Patriots Hospital

1650 Bragaw St. Anchorage AK 99508 (907) 433-7333 NO

Chris Kyle Patriots Hospital Anchorage, AK Detoxification Experience of active withdrawal symptoms

Acute Inpatient

Psychiatric

Hospital 3-7 days NO

Chris Kyle Patriots Hospital Anchorage, AK Rehabilitation

Experience of withdrawal symptoms/propensity to

regress

Acute Inpatient

Psychiatric

Hospital 30 days NO

Page 6 of 12 Updated 12/29/2020

Page 7: Substance Use Disorder - Residential and Outpatient ...dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD...May 11, 2020  · Program Location Modality Description State Reporting

Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Chris Kyle Patriots Hospital Anchorage, AK Trauma

Unersolved trauma contributing to current unsafe

symptomology

Acute Inpatient

Psychiatric 30 days NO

Norton Sound Health Corporation

305 5th Avenue Nome AK 99762 (907) 443-3311 YES

Matrix-Adolescent Intensive Outpatient Nome EBP - Matrix-Intensive Outpatient 12 - Youth and Family Oupatient - SA 2.1 YES

Matrix-Adult Intensive Outpatient Nome EBP - Matrix-Intensive Outpatient 16 - Adult - Out Patient - SA 2.1 YES

Substance Use Outpatient Adult Nome Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Substance Use Outpatient Youth Nome Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Pacific Northwest Adult & Teen Challenge

705 S Knik Good Bay Rd STE K Wasilla AK 99654 (503) 946-6237 YES

Substance Use Outpatient Adult Wasilla Substance Use Outpatient - Non-Intensive 16 - Adult Outpatient - SA 1.0 NO

Substance Use Outpatient Adult Wasilla Substnace Use Outpatient - Intensive 16 - Adult Outpatient - SA 2.1 NO

Substance Use Outpatient Youth and Family Wasilla Substance Use Outpatient - Non-Intensive 12 Youth and Family Outpatient - SA 1.0 NO

Pacific Rim Counseling

627 Gaffney Fairbanks AK 99701 (907) 452-5252 YES

Wellness Court Fairbanks Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Wellness Court Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

ASAP/JASAP Fairbanks

Palmer Counseling

1222 Crowles St Fairbanks AK 99701 (907) 371-4568 NO

ASAP/JASAP Fairbanks NO

Palmer Correctional Center

PO Box 919 Palmer AK 99645 (907) 746-8270 NO

ASAP (Insitutional Program) Palmer NO

Peninsula Community Health Services of Alaska

230 E. Marydale Ave. Soldotna AK 99669 (907) 260-7300

Co-occuring Services Adult Soldotna Substance Abuse Outpatient - Non-Intensive 126- Adult - Out Patient - SA 1.0 YES

Co-occuring Services Youth Soldotna Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Petersburg Mental Health Services

201 North Nordic Drive Petersburg AK 99833 (907) 772-3332 YES

Adult Outpatient SA Petersburg Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Petersburg NO

Intensive Outpatient Petersburg Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Pichette Counseling Services

626 2nd Street, Suite 204 Fairbanks AK 99701 (907) 459-6401 NO

ASAP Fairbanks NO

Pichette Counseling Services Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 1.0 NO

Pinnacle Community Health

7125 Old Seward Hwy. Suite 201 Anchorage AK 99518 (907) 290-3044 YES

Adult Outpatient SA Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Outpatient - SA 1.0 NO

Adult Intensive Outpatient SA Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Outpatient - SA 2.0 NO

Providence Breakthrough

3801 Lake Otis Pkwy, Ste 200 Anchorage AK 99508 (907) 212-6970 YES

Prov. Breakthrough Anchorage Substance Abuse Outpatient - Non-Intensive

12 - Youth & Fanily Outpatient Substance Use

Disorder Treatment - SA 1.0 NO

Page 7 of 12 Updated 12/29/2020

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Prov. Breakthrough Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Providence Kodiak Island Counseling Center

717 E Rezanof Dr Kodiak AK 99615 (907) 481-2400 YES

Adult Intensive Outpatient SA Kodiak Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Adult Outpatient SA Kodiak Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Kodiak NO

Youth Intensive Outpatient SA Kodiak Substance Abuse Outpatient - Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 2.1 YES

Youth Outpatient SA Kodiak Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Providence Valdez Counseling Center

911 Meals Avenue Valdez AK 99686 (907) 835-2838 YES

Substance Abuse - Adult Valdez Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Substance Abuse - Youth Valdez Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Adult - Intensive Outpatient SA Valdez Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Railbelt Mental Health & Addictions

307 East 2nd Street Nenana AK 99760 (907) 832-5557 YES

Adolescent Substance Use Disorder Treatment Nenana Substance Abuse Outpatient - Non-Intensive

112 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Adult Substance Use Disorder Treatment Nenana Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Rainforest Recovery Center

3250 Hospital Drive Juneau AK 99801 (907) 796-8690 YES

Detox Juneau Detoxification, 24 Hour Service, Hospital Inpatient. 9 - Withdrawal Management - SA 4-WM YES

Medicated Assisted Treatment Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Residential Short Term Juneau

Rehabilitation/Residential, Short Term, 30 Days or

Fewer. 17 - Adult Residential - SA 3.5 30 days YES

Substance Abuse Outpatient Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Rational Recovery

308 G Street, Suite 212 Anchorage AK 99501 (907) 351-8249 NO

SA Intensive Outpatient Treatment Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

SA Outpatient Treatment Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Renew Your Mind

123 E. Fireweed Ln, Suite 212 Anchorage AK 99801 (907) 720-4005 NO

ASAP Anchorage NO

Renew Your Mind Continuing Care Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Renew Your Mind Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Renew Your Mind Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Restore, Inc.

542 4th Ave. Ste B101 Fairbanks AK 99701 (907) 374-1097 YES

ADIS Fairbanks NO

Continuing Care Fairbanks NO

Fairbanks Adult Residential 17-Adult Residential – SUD 3.1 NO

Fairbanks Ambulatory Withdrawal Management 9 – Withdrawal Management Services 1-WM NO

Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Fairbanks Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Fairbanks Youth & Family Outpatient Substance Use 12-Youth Outpatient – SUD 2.1 NO

Page 8 of 12 Updated 12/29/2020

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Fairbanks Youth & Family Outpatient Substance Use 12-Youth Outpatient – SUD 1.0 NO

RurAL CAP Inc.

731 East 8th Avenue Anchorage AK 99501 (907) 865-7356 YES

Harboring Outpatient Substance Use Disorder Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Karluck Manor Anchorage

Permanent Supportive Housing ICM Outpatient –

Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Road Home Anchorage

Permanent Supportive Housing ICM Outpatient –

Non-Intensive 7 - Permanent Supportive Housing - SA 1.0 NO

Salvation Army Clitheroe Center

3600 East 20th Ave. & 8000 West End Road Anchorage AK 99501 (907) 276-2898 YES

ASAP Anchorage NO

Dual Diagnosis Outpatient Anchorage Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Intensive Outpatient 2.I Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Mens Residential Anchorage Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.5 3-4 months YES

Outpatient 1.0 Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Womens Residential Anchorage Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.5 3-4 months YES

Seaview Community Services

302 Railway Ave. Seward AK 99664 (907) 224-5257 YES

ASAP/JASAP Seward NO

Substance Abuse Intensive Outpatient Seward Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Substance Abuse Outpatient Seward Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Set Free Alaska

7010 Bogard Road Wasilla AK 99654 (907) 373-4732 YES

ASAP Wasilla

Adult Ougtpatient Treatment Homer

Dual Diagnosis Outpatient - Intensive & Non-

Intensive 16 - Adult - Outpatient - SA 2.1/1.0

Compass Homer Rehab/Residential, Mid-term 17 – Adult Residential – SA (Men and Children) 3.1 3-6 months YES

Continuing Care Wasilla Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Intensive Outpatient Treatment Wasilla Dual Diagnosis Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Outpatient Treatment Wasilla Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Telehealth Intensive Outpatient Wasilla Dual Diagnosis Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Telehealth Outpatient Wasilla Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Valley Oakes Wasilla Rehabilitation/Residential, Mid Term 15 - Women & Children - Residential - SA 3.5 4-6 months YES

Youth Intensive Outpatient Treatment Wasilla Dual Diagnosis Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Youth Outpatient Treatment Wasilla Dual Diagnosis Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Seven Secrets Counseling & Social Skills

2515 Nission Rd. Fairbanks AK 99705 (907) 488-4561 NO

ASAP/JASAP Fairbanks NO

Intensive Outpatient Fairbanks Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Page 9 of 12 Updated 12/29/2020

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

Outpatient Fairbanks Substance Abuse Outpatient - Non-Intensive 17 - Adult - Out Patient - SA 1.0 NO

Sitka Counseling and Prevention Services

113 Metlakatla Street Sitka AK 99835 (907) 747-3636 YES

Adult Outpatient Sitka Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

ASAP/JASAP Sitka NO

Sitka Counseling Residential Sitka Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.1 4-6 months YES

Women With Children Sitka Substance Abuse Outpatient - Non-Intensive 14 - Women & Children - Out Patient - SA 1.0 YES

Youth & Family Outpatient Sitka Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Sound Alternatives

602 Chase Avenue Cordova AK 99574 (907) 424-8300 YES

Adult Substance Abuse Cordova Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Youth Outpatient Substance Abuse Cordova Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

ASAP/JASAP Cordova

Southcentral Foundation - Behavioral Services Division

4501 Diplomacy Drive, Suite 200 Anchorage AK 99508 (907) 729-4955 YES

Dena A Coy Anchorage Dual Diagnosis Residential Long Term 17 - Adult Residential - SA 3.5 3-8 months YES

Four Directions Dual Diagnosis SA/MH Intensive

Outpatient Anchorage Dual Diagnosis Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Four Directions Dual Diagnosis SA/MH Outpatient Anchorage Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Intensive Out Patient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Non Intensive Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

SCF Detox Program Anchorage

Detoxification, 24 Hour Service, Free Standing

Residential. 09 - Withdrawal Management 3.7-WM YES

Nilavena Substance Use Iliamna Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

McGrath Out Patient - SA McGrath Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

SouthEast Alaska Regional Health Consortium

222 Tongass Drive Sitka AK 99835 (907) 966-8611 YES

Haines Substance Use Services Haines Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Juneau Substance Abuse Juneau Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

JASAP Kake NO

ASAP/JASAP Prince of Wales NO

ASAP/JASAP Sitka NO

Community Family Services Outpatient Substance

Abuse Sitka Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Haa Toowóo Náakw Hít Behavioral Health Clinic

Substance Abuse Sitka Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Raven's Way Sitka Rehabilitation/Residential, Mid Term 13 - Youth Residential - SA 3.5 3-4 months YES

Tanana Chiefs Conference

122 1st Ave., Suite 400 Fairbanks AK 99701 (907) 459-3800 YES

TCC Outpatient Fairbanks Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

YK Substance Use Outpatient Galena Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Old Minto Recovery Camp Old Minto Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.5 35+ days YES

ASAP/JASAP Tok NO

Upper Tanana BH - SUOutpatient Tok Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Tongass Substance Screening/ AK Star Training Institute

120 Carlanna Lake Rd Ketchikan AK 99901 (907) 247-1431

ASAP/JASAP Ketchikan NO

Page 10 of 12 Updated 12/29/2020

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

True North Counseling

15 12th St Room 212 Petersburg AK 99833 (907) 650-7292 NO

ASAP/JASAP Petersburg NO

True North Recovery, Inc.

300 N. Main St. Wasilla AK 99654 (907) 357-8180 YES

Wasilla Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 1.0 YES

Wasilla Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Wasilla Recovery Housing YES

Turning Point Counseling Services

315 5th Ave Fairbanks AK 99701 (907) 374-7776 NO

Adult Outpatient - SA Fairbanks Substance Abuse Outpatient 16 - Adult - Outpatient - SA 1.0 NO

Adult Intensive Outpatient Fairbanks Substnace Abuse Outpatient - Intensive 16 - Adult - Outpatient - SA 2.1 NO

Tután Recovery Services, LLC

3001 Porcupine Drive Anchorage AK 99501 (907) 563-0555 YES

ASAP Anchorage NO

Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 NO

Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 NO

Valdez Counseling Center

911 Meals Ave Valdez AK 99686 (907) 835-2838 YES

ASAP/JASAP Valdez NO

Volunteers of America, Alaska

2600 Cordova Street, Suite 101 Anchorage AK 99503 (907) 279-9640 YES

Adult Substance Abuse Intensive Outpatient Anchorage Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Adult Substance Abuse Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Assist - Intensive Outpatient Anchorage EBP - Matrix-Intensive Outpatient

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 2.1 YES

Assist - Outpatient Anchorage Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Bring the Kids Home-CHA Anchorage Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Continuing Care Anchorage Substance Abuse Outpatient - Non-Intensive

12 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Continuing Care Anchorage Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

JASAP Anchorage NO

ARCH Youth Residential Anchorage Rehabilitation/Residential, Long Term 13 - Youth Residential - SA 3.5 2-7 months YES

Wil la mootk Counseling Center

90 Milton Street Metlakatla AK 99926 (907) 886-6911 YES

Adult Outpatient SUD Metlakatla Dual Diagnosis Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

Youth Outpatient SUD Metlakatla Substance Abuse Outpatient - Non-Intensive

13 - Youth & Family Outpatient Substance Use

Disorder Treatment - SA 1.0 YES

Yukon-Kuskokwim Health Corporation

829 Eddie Hoffman Hwy. Bethel AK 99559 (907) 543-6700 YES

AHC – SUD RESIDENTIAL Bethel Rehabilitation/Residential, Mid Term 17 - Adult Residential - SA 3.5 YES

OUTPATIENT CLINIC – SUD Bethel Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

OPIOID - SUD INTENSIVE OUTPATIENT Bethel Substance Abuse Outpatient - Intensive 11 - Opioid Treatment Services 2.1 YES

OPIOID - SUD RESIDENTIAL Bethel Rehabilitation/Residential, Mid Term 11 - Opioid Treatment Services 3.5 YES

THERAPEUTIC COURT Bethel Substance Abuse Outpatient - Intensive 16 - Adult - Out Patient - SA 2.1 YES

Page 11 of 12 Updated 12/29/2020

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Substance Use Disorder - Residential and Outpatient - State Grantees & Private Providers

Program

Service

Location Modality Description State Reporting Specifier Level of Care

Length of

Program

State

Grantee

State

Approved

Medicaid

Provider

BH VILLAGE SERVICES - SUD

YKHC Regional

Communities Substance Abuse Outpatient - Non-Intensive 16 - Adult - Out Patient - SA 1.0 YES

MILITARY AND VETERANS PROGRAMSADAPT (JBER)

5955 Elmendorf Ave Elmendorf AK 99506 (907) 580-2181 NO

OUTPATIENT CLINIC Substance Abuse Outpatient - Non-Intensive 1.0 NO

ASAP (JBER)

724 Postal Service LoOutpatient #1025 Bldg.

1108 2nd Floor Ft. Rich AK 99505 (907) 384-7368 NO

OUTPATIENT CLINIC Substance Abuse Outpatient - Non-Intensive 1.0 NO

Fort Greely ASAP

BLDG 702 Rm 4 Ist Street Ft Greely AK 99731 (907) 873-3785 NO

ASAP (Military Veterans Only) Ft Greely NO

Veterans Center

4400 Business Park Blvd. Ste. B-34 Anchorage AK 99503 (907) 563-6966 NO

OUTPATIENT CLINIC Substance Abuse Outpatient - Non-Intensive 1.0 NO

Veterans Affairs

3001 C St. Suite 201 Anchorage AK 99503 (907) 257-4835 NO

OUTPATIENT CLINIC Substance Abuse Outpatient - Non-Intensive 1.0 NO

Wasilla Veterans Center

851 E. West Point Dr. Wasilla AK 99654 (907) 376-4318 NO

ASAP NO

OUTPATIENT CLINIC Substance Abuse Outpatient - Non-Intensive 1.0 NO

Page 12 of 12 Updated 12/29/2020