County of Marin. Condado de Marin

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County of Marin

Behavioral Health and Recovery Services

Drug Medi-Cal Organized Delivery System (DMC-ODS) Provider List

Condado de Marin

Servicios de Salud Conductual y Recuperación

Lista de Proveedores del Sistema Organizado de Entrega de Medicamentos/Medi-Cal (DMC-ODS)

July 2022

Julio 2022

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As Marin County Medi-Cal beneficiaries, if you think you are or a family member needs substance use services, call the Access Line at 1-888-818-1115 (toll free) or if you are hearing/speech impaired, call the California Relay Service (CRS) at 711 (TTY/TDD). The Access Team will perform a

screening and referral to a DMC-ODS Plan provider, who will perform an assessment to

determine medical necessity based on American Society of Addiction Medicine (ASAM) criteria. If necessary, the Access Line provides authorization for residential treatment.

Unless noted below, all providers are accepting new beneficiaries. Note that all of the below Providers can accommodate persons with physical disabilities and serve Marin Medi-Cal

beneficiaries, even if the site is not yet Drug/Medi-Cal certified.

Como beneficiario(a) de Medi-Cal del Condado de Marin, si cree que usted o un familiar necesitan servicios contra el consumo de sustancias, llame a la Línea de Acceso al 1-888-818-

1115 (número gratuito), o si tiene algún impedimento del habla/oído, llame al servicio

California Relay (CRS) al 711 (TTY/TDD). El Equipo de Acceso realizará una evaluación y dará una referencia al proveedor del Plan de DMC-ODS, quien hará una evaluación para determinar la necesidad médica con base en los criterios de la Sociedad Norteamericana de Medicina contra

la Adicción (ASAM, por sus siglas en inglés). Si es necesario, la Línea de Acceso proporciona

autorización para un tratamiento residencial.

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A menos que se indique a continuación, todos los proveedores están aceptando nuevos beneficiarios.. Observe que todos los Proveedores siguientes pueden adaptarse a las necesidades de personas con discapacidades físicas y atender a beneficiarios de Medi-Cal de

Marin, incluso si el sitio aún no recibe una certificación de Medicamentos/Medi-Cal. Los siguientes Proveedores también han recibido capacitación en competencia cultural.

Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed,

waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan's provider directory.

Los servicios pueden ser provistos por un proveedor individual o por un equipo de proveedores que trabaja bajo la dirección de un médico licenciado que opera dentro del alcance de su práctica. Sólo los profesionales de salud mental licenciados, exceptuados o registrados y los

proveedores licenciados de servicios de trastornos por uso de sustancias aparecen en el

Directorio de los Proveedores del Plan.

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If you require this document in an alternate format (example: Braille, Large Print, Audiotape, CD- ROM), you may request an alternate format, at no cost to the beneficiary, by calling: the Access

Line at 1-888-818-1115 (toll free). Hearing and/or speech impaired members can call the California Relay Service by dialing 711.

Si usted necesita este documento en un formato alternativo (por ejemplo: Braille, letras grandes, audiocinta, CD-ROM), puede solicitar un formato alternativo llamando a la Línea de Acceso al 1-888-818-1115 (número gratuito). Los miembros con un impedimento del oído o del

habla pueden llamar al servicio California Relay, marcando al 711.

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English

ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-818-1115 (TTY: 711).

English

ATTENTION: Auxiliary aids and services, including but not limited to large print

documents and alternative formats, are available to you free of charge upon request. Call 1-888-8181115 (TTY: 711).

Español (Spanish)

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-818-1115 (TTY: 711).

Español (Spanish)

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia

lingüística. Llame al 1-888-818-1115 (TTY: 711).

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Tiếng Việt (Vietnamese)

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-818-1115 (TTY: 711).

Tiếng Việt (Vietnamese)

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Gọi số 1-888-818-1115 (TTY: 711).

Tagalog (Tagalog ̶ Filipino)

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Tumawag sa 1-888-818-1115 (TTY: 711).

Tagalog (Tagalog ̶ Filipino)

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-818-1115 (TTY: 711) .

ଛ˯ߪ(Korean)

࣯ࢂ: ଞ˲߭ձ یࡈଜݤЕ ˁࡉ, ߯߭ एࡕ ۰ٸݛձ הՎԻ ࢇࡈଜݨ ܹ ࢑ݡТЬ. 1-888-818-

1115 (TTY: 711).ءࡳԻ ࢷ୘ଥ ࣯ݫݤࠝ.

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ଛ˯ߪ(Korean)

࣯ࢂ: ଞ˲߭ձ یࡈଜݤЕ ˁࡉ, ߯߭ एࡕ ۰ٸݛձ הՎԻ

ࢇࡈଜݨ ܹ ࢑ݡТЬ. 1-888-818-1115 (TTY: 711).ءࡳԻ ࢷ୘ଥ ࣯ݫݤࠝ.

য檥Иᩥ(Chinese)

ࡨ۞͹ײߧۓ҅ऀয檥ИކͫۓՕљҲ嶲䙃ڱ寉ઈݙԉ߆⥽澞寶ਚ朅1-888-818-1115 (TTY:

711).

য檥Иᩥ(Chinese)

ࡨ۞͹ײߧۓ҅ऀয檥ИކͫۓՕљҲ嶲䙃ڱ寉ઈݙԉ߆⥽澞寶ਚ朅1-888-818-1115

(TTY: 711).

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Հ այ ե ր ե ն (Armenian)

ՈՒՇԱԴՐՈՒԹՅ ՈՒՆ՝ Եթե խո ս ո ւ մ ե ք հ այ ե ր ե ն , ապա ձ ե զ ան վ ճ ար կ ար ո ղ ե ն տր ամադ ր վ ե լ լ ե զ վ ակ ան աջ ակ ց ո ւ թյ ան ծ առ այ ո ւ թյ ո ւ ն ն ե ր : Զան գ ահ ար ե ք 1-888-818-1115 (TTY: 711).

Հ այ ե ր ե ն (Armenian)

ՈՒՇԱԴՐՈՒԹՅ ՈՒՆ՝ Եթե խո ս ո ւ մ ե ք հ այ ե ր ե ն , ապա ձ ե զ ան վ ճ ար կ ար ո ղ ե ն տր ամադ ր վ ե լ լ ե զ վ ակ ան աջ ակ ց ո ւ թյ ան ծ առ այ ո ւ թյ ո ւ ն ն ե ր : Զան գ ահ ար ե ք 1-888-818-1115 (TTY: 711).

Русский (Russian)

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-818-1115 (TTY: 711).

Русский (Russian)

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные

услуги перевода. Звоните 1-888-8181115 (TTY: 711).

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ﯽﺳرﺎﻓ (Farsi)

ﮫﺟوﺗ ﯽﺳرﺎﻓ نﺎﺑز ﮫﺑ رﮔا : ). ﺎﺑ .دﺷﺎﺑ ﯽﻣ مھارﻓ ﺎﻣﺷ یارﺑ نﺎﮕﯾار تروﺻﺑ ﯽﻧﺎﺑز تﻼﯾﮭﺳﺗ ،دﯾﻧﮐ ﯽﻣ وﮕﺗﻔﮔ

711(TTY:

1115 - 818 -

888 - 1 .دﯾرﯾﮕﺑ سﺎﻣﺗ

ﯽﺳرﺎﻓ (Farsi)

ﺗ ﮫﺟو ). ﺎﺑ .دﺷﺎﺑ ﯽﻣ مھارﻓ ﺎﻣﺷ یارﺑ نﺎﮕﯾار تروﺻﺑ ﯽﻧﺎﺑز تﻼﯾﮭﺳﺗ ،دﯾﻧﮐ ﯽﻣ وﮕﺗﻔﮔ ﯽﺳرﺎﻓ نﺎﺑز ﮫﺑ رﮔا : 711(TTY:

1115 -

818 - 888 - 1 رﯾﮕﺑ سﺎﻣﺗ .دﯾ

᪥ ߎ寉 (Japanese)

ὀព஦㡯㸸᪥ᮏㄒࢆヰࡉࢀࡿሙྜࠊ↓ᩱࡢゝㄒᨭ᥼ࢆࡈ฼⏝࠸ࡓࡔࡅࡲࡍࠋ1-888-818-1115 (TTY: 711). ࡲ࡛ࠊ࠾㟁ヰ࡟࡚ࡈ㐃⤡ࡃࡔࡉ࠸ࠋ

ޙߎ寉 (Japanese)

ὀព஦㡯㸸᪥ᮏㄒࢆヰࡉࢀࡿሙྜࠊ↓ᩱࡢゝㄒᨭ᥼ࢆࡈ฼⏝࠸

ࡓࡔࡅࡲࡍࠋ 1-888-818-1115 (TTY: 711). ࡲ࡛ࠊ࠾㟁ヰ࡟࡚ࡈ㐃⤡ࡃࡔࡉ࠸ࠋ

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Hmoob (Hmong)

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-888-818-1115 (TTY: 711).

Hmoob (Hmong)

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-888-818-1115 (TTY:

711).

ଯଡ଼ଢୂ଱ୄ (Punjabi)

ୃଭ଒ମ ୃଭଙ: ଢେ ପ୅଺ äୄäଏଯଡ଼ଢୂ଱ ଱ୋୃଶେ ଻ୋ, ପୂୄଏ ଲୂହୂ ଭୃää୞ଠ ଺଻ୂଓପୂ ଺େäୂ ପ୅଻ୂଧେ ଶଔ ଳ୅ରପ କଯଶୃ଱ 1-888-818-1115 (TTY: 711). 'ପେ ଛୂଶ ଛଵୋ͡

ଯଡ଼ଢୂ଱ୄ (Punjabi)

ୃଭ଒ମ ୃଭଙ: ଢେ ପ୅଺ äୄäଏଯଡ଼ଢୂ଱ ଱ୋୃଶେ ଻ୋ, ପୂୄଏ ଲୂହୂ ଭୃää୞ଠ ଺଻ୂଓପୂ ଺େäୂ ପ୅଻ୂଧେ

ଶଔ ଳ୅ରପ କଯଶୃ଱ 1-888-818-1115 (TTY: 711). 'ପେ ଛୂଶ ଛଵୋ͡

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ﺔﯾﺑرﻌﻟا (Arabic)

ﻢﻗﺮﺑ ﻞﺼﺗا .نﺎﺠﻤﻟﺎﺑ ﻚﻟ ﺮﻓاﻮﺘﺗ ﺔﯾﻮﻐﻠﻟا ةﺪﻋﺎﺴﻤﻟا تﺎﻣﺪﺧ نﺈﻓ ،ﺔﻐﻠﻟا ﺮﻛذا ثﺪﺤﺘﺗ ﺖﻨﻛ اذإ :ﺔظﻮﺤﻠﻣ 1115

- 818 - 888 - 1

:ﻢﻜﺒﻟاو ﻢﺼﻟا ﻒﺗﺎھ ﻢﻗر(

(TTY: 711):

ﺔﯾﺑرﻌﻟا (Arabic)

ﻢﻗﺮﺑ ﻞﺼﺗا. نﺎﺠﻤﻟﺎﺑ ﻚﻟ ﺮﻓاﻮﺘﺗ ﺔﯾﻮﻐﻠﻟا ةﺪﻋﺎﺴﻤﻟا تﺎﻣﺪﺧ نﺈﻓ ،ﺔﻐﻠﻟا ﺮﻛذا ثﺪﺤﺘﺗ ﺖﻨﻛ اذإ :ﺔظﻮﺤﻠﻣ1115-818-888-1 ﻢﻗر(

:ﻢﻜﺒﻟاو ﻢﺼﻟا ﻒﺗﺎھ(TTY: 711):

ĮĞŃĉı (Hindi)

ȯĭċ ĉŐ: ĒĮĉ çč ĮĞŃĉı ďļĕćĸ Ğœ ćļ çčøĸ Įĕð đĲɞ đŐ ĐĭĜĭ ĝĞĭĒćĭ ĝĸęĭðŃ êčĕɩ Ğœ͡ 1-888-818-1115 (TTY: 711).čē øĺĕ øēŐ͡

ĮĞŃĉı (Hindi)

ȯĭċ ĉŐ: ĒĮĉ çč ĮĞŃĉı ďļĕćĸ Ğœ ćļ çčøĸ Įĕð đĲɞ đŐ ĐĭĜĭ ĝĞĭĒćĭ ĝĸęĭðŃ êčĕɩ Ğœ͡ 1-888-818- 1115

(TTY: 711).čē øĺĕ øēŐ͡

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ภาษาไทย (Thai)

เรยีน: ถา◌้คณุ พูดภาษาไทยคณุ สามารถใชบ้รกิารชว่ยเหลอืทางภาษาไดฟ้รี โทร 1-888-818-1115 (TTY: 711).

ภาษาไทย (Thai)

เรยีน: ถา◌้คณุ พูดภาษาไทยคณุ สามารถใชบ้รกิารชว่ยเหลอืทางภาษาไดฟ้รี โทร 1-888-818-1115 (TTY: 711).

ែខរ (Cambodian) បយ័ត៖ ររ ស េ◌ ◌ិ◌ិន អកនិ យ ែខ , រ ជំនួយមននក េ យមិនគិត្◌្ិ◌ួ ◌ិលន គឺ ច ន ◌ំេ◌ ◌ិ ◌ិ◌ំររ អ្◌ ◌ិេ◌ នក។ ចូ ទូ ព្◌័ ទ1-888-818-1115 (TTY: 711).។

ែខរ (Cambodian) បយ័ត៖ ររ ស េ◌ ◌ិ◌ិន អកនិ យ ែខ , រ

ជំនួយមននក េ យមិនគិត្◌្ិ◌ួ ◌ិលន គឺ ច ន ◌ំេ◌ ◌ិ ◌ិ◌ំររ អ្◌ ◌ិេ◌ នក។

ចូ ទូ ព្◌័ ទ1-888-818-1115 (TTY: 711).។

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AGENCY DIRECTORY DIRECTORIO DE LA AGENCIA

Provider Proveedor

Service Type Tipo de servicio

Populations Served Poblaciones atendidas

Cultural Capacity/ Specialty Especialidad/ capacidad cultural

Non‐English Languages Otros idiomas además del inglés

Address Dirección

Phone Tel

Hours of Operation Horario de operación

Basic or Limited Disability

Access Discapacidad

básica o limitada

Residential (ASAM 3.1 and 3.5) Residencial (ASAM 3.1 y 3.5)

Adults (18+) Adultos (18+)

Multicultural Staff Personal multicultural

Spanish Español

291 Smith Ranch Rd.

San Rafael, CA 94903 www.buckelew.org

415‐492‐0818 24 Hours/7 Days

24 Horas/7 Días

Basic Básica

Sober Living Environment/Recovery Residence Residencial (ASAM

900 5th Avenue, Suite 150 San Rafael, CA 94903

www.buckelew.org

415‐457‐6966 24 Hours/7 Days

Basic Básica

Withdrawal Management (ASAM 3.2‐WM) Manejo de abstinencia (ASAM 3.2‐WM)

291 Smith Ranch Rd.

San Rafael, CA 94903 www.buckelew.org

415‐492‐0818 24 Hours/7 Days

Basic Básica

Phone Tel

General Outpatient Pacientes externos general

(Positive Changes)

Adult Women (18+); Perinatal Mujeres adultas (18+); Perinatal

Gender‐Specific (Female);

Perinatal Específico de género (femenino);

Perinatal

171 Carlos Drive San Rafael, CA 94903

www.BACR.org

415‐328‐6269

Monday ‐ Thursday Lunes ‐ Jueves 8:30AM‐4:00PM

Basic Básica

(Family Connections)

Adolescents Adolescentes

www.BACR.org

415‐755‐2335

Monday and Wednesday Lunes y Miercoles

2:00PM‐7:00PM Tuesday Martes 2:00PM‐8:00PM Thursday and Friday

Jueves y Viernes By Appointment con previa cita

Basic Básica

Intensive Outpatient Pacientes externos intensivo

(Positive Changes)

Perinatal

www.BACR.org

415‐328‐6269

Monday ‐ Thursday Lunes ‐ Jueves 8:30AM‐4:00PM

Basic Básica

(Family Connections)

Adolescents Adolescentes

www.BACR.org

415‐755‐2335

Moday and Wednesday Lunes y Miercoles

2:00PM‐7:00PM Tuesday Martes 2:00PM ‐ 8:00PM Thursday and Friday

Jueves y Viernes By Appointment con previa cita

Basic Básica Helen Vine Recovery

Center (Buckelew Programs)

Bay Area Community Resources

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Phone Tel

General Outpatient (Program Renacer) Pacientes externos general (Programa

Renacer)

710 C Street, Ste 8 San Rafael, CA 94901 www.MarinOutpatient.com

415‐485‐6736

Monday ‐ Friday Lunes ‐ Viernes 9:00AM‐9:00PM Saturday ‐ Sunday Sábado ‐ Domingo By Appointment con previa cita

Basic Básica

Intensive Outpatient (Program Renacer) Pacientes externos intensivo (Programa

Renacer)

710 C Street, Ste 8 San Rafael, CA 94901 www.MarinOutpatient.com

415‐485‐6736

Monday ‐ Friday Lunes ‐ Viernes 9:00AM‐9:00PM Saturday ‐ Sunday Sábado ‐

Domingo By Appointment con previa cita

Basic Básica

Phone Tel

Co‐Occurring SUD/SMI

SUD/SMI co‐ocurrentes Spanish Español

10 N. San Pedro Rd.

San Rafael, CA 94903 www.MarinHHS.org/BHRS

415‐473‐2555

Monday ‐ Friday Lunes ‐ Viernes 8:30AM‐4:00PM

Basic Básica

Co‐Occurring SUD/SMI SUD/SMI co‐ocurrentes

10 N. San Pedro Rd.

415‐473‐2555

Basic Básica

Recovery Services Servicios de recuperación

10 N. San Pedro Rd.

415‐473‐2555

Basic Básica

Physician Consultation Consulta médica

DMC Physicians Médicos DMC

10 N. San Pedro Rd.

415‐473‐2555

Basic Básica Marin Outpatient and

Recovery Services

County of Marin (Road to Recovery)

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Phone Tel

Adults (18+)

Adultos (18+) Multicultural Staff Personal multicultural

1601 2nd Street #104 San Rafael, CA 94901 www.CPInc.org

415‐456‐6655

Basic Básica

1601 2nd Street #104 San Rafael, CA 94901 www.CPInc.org

415‐456‐6655

Basic Básica

Perinatal

(Protected) San Rafael, CA www.CPInc.org

415‐456‐6655 24 Hours/7 Days

Basic Básica

Adult Men (18+) Hombres adultos (18+)

Gender‐Specific (Male) Específico de género (masculino)

603 D Street San Rafael, CA 94901

www.CPInc.org

415‐456‐6655 24 Hours/7 Days

24 Horas/7 Días Limited

Center Point, Inc.

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Phone Tel

Medication Assisted Treatment Tratamiento asistido con

medicamentos

1466 Lincoln Ave.

San Rafael, CA 94901 www.MTCInc.org

415‐457‐3755

Monday ‐ Friday Lunes ‐ Viernes 1:00PM‐5:00PM Saturday ‐ Sabado 7:45AM‐10:30AM Closed on Sunday Cerrado el Domingo

Holidays Festivos 9:30AM‐10:00AM

Basic Básica

medicamentos

1466 Lincoln Ave.

415‐457‐3755

Monday ‐ Friday Lunes ‐ Viernes 1:00PM‐5:00PM Saturday ‐ Sabado 7:45AM‐10:30AM Sunday Closed Domingo Cerrado Holidays Festivos 9:30AM‐10:00AM

Basic Básica

Outpatient Withdrawal Management (ASAM 1‐WM)

Pacienes externos manejo de abstinencia (ASAM 1‐WM)

medicamentos

1466 Lincoln Ave.

415‐457‐3755

Monday ‐ Friday Lunes ‐ Viernes 1:00PM‐5:00PM Saturday ‐ Sabado 7:45AM‐10:30AM Closed on Sunday Cerrado el Domingo

Holidays Festivos 9:30AM‐10:00AM

Basic Básica

Opioid (Narcotic) Treatment Program Programa de tratamiento contra opioides

(narcóticos)

Adults (18+); Perinatal;

Adolescents (16+) Adultos (18+); Perinatal;

Adolescentes (16+)

medicamentos

1466 Lincoln Ave.

415‐457‐3755

Dosing Hours Horario de dosificación Monday ‐ Friday

Lunes ‐ Viernes 7:00AM‐10:00AM and y 10:30AM‐1:30PM

Saturday Sábado 7:45AM‐10:30AM Sunday Closed Domingo Cerrado Holidays Festivos 9:30AM‐10:00AM

Basic Básica Marin Treatment Center

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Phone Tel

Safety Net Office Adults (18+)

Adultos (18+)

Homeless/At‐risk of Homeless Sin hogar/en riesgo de quedar

sin hogar

12 Ritter Street San Rafael, CA 94901 www.RitterCenter.org

415‐457‐8182 x124 FAX: 415‐457‐3490

*Other hours by appointment

*Otras horas con previa cita

Basic Básica

Outpatient Group Pacientes externos general

sin hogar

415‐457‐8182 x124 FAX: 415‐457‐3490

Mondays Los Lunes 10:00AM ‐ 12:00PM

Basic Básica

sin hogar

415‐457‐8182 x124 FAX: 415‐457‐3490

Monday/Tuesday/Thursday Lunes/Martes/Jueves

6:00PM ‐ 9:00PM

Basic Básica Ritter Center

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Out of County Provider Fuera del condado

Proveedor

Phone Tel

Adolescents (Boys 12‐17) Adolescentes (Ninos 12‐17)

Laurel Home 865 Black Walnut Cout Morgan Hill, CA 95037

408‐502‐2037 [email protected]

24 Hours/7 Days 24 Horas/7 Días

Basic Básica

Adolescents (Girls 12‐17) Adolescentes (Chicas 12‐17)

Summit Home 1200 W Edmunson Avenue

Morgan Hills, CA 95037

408‐502‐2037 [email protected]

24 Hours/7 Days 24 Horas/7 Días

Basic Básica

Bi‐Bett Corporation Residential (ASAM 3.1 and 3.5) Residencial (ASAM 3.1 y 3.5)

Perinatal

Shamia Recovery Center

Vallejo, CA 707‐644‐2577 24 Hours/7 Days

Basic Básica

Health RIGHT 360 Residential (ASAM 3.1, 3.3 and 3.5) Residencial (ASAM 3.1, 3.3 y 3.5)

Co‐Occurring SUD/SMI;

Transgender Co‐ocurriendo SUD/SMI;

Transgénero

815 Buena Vista West San Francisco, CA 94117 www.HealthRight360.org

Assessment Evaluación:

415‐272‐9111 Facility Instalación:

415‐762‐3700

24 Hours/ 7Days 24 Horas/7 Días

Basic Básica

La Familia (El Chante) Residential (ASAM 3.1 and 3.5) Residencial (ASAM 3.1 y 3.5)

Adult Men (18+) Hombres adultos (18+)

Gender‐Specific (Male) Específico de género (masculino)

425 Vernon Street Oakland, CA 94610 www.lafamiliacounseling.org

510‐465‐4569 24 Hours/ 7Days

Basic Básica

2413 2nd Street Eureka, CA 95501 www.waterfrontrecovery.org

707‐269‐9590 24 Hours/7 Days

Basic Básica

Withdrawal Management (ASAM 3.2‐WM) Manejo de abstinencia (ASAM 3.2‐WM)

2413 2nd Street Eureka, CA 95501 www.waterfrontrecovery.org

707‐269‐9590 24 Hours/7 Days

Basic Básica

Women's Recovery Services Residential (ASAM 3.1) Residencial (ASAM 3.1)

Adult Women (18+); Perinatal Mujeres adultas y (18+);

Perinatal

98 Hendley Street Santa Rosa, CA 95404

www.womensrecoveryservices.org 707‐527‐0412 24 Hours/7 Days 24 Horas/7 Días

Basic Básica Waterfront Recovery

Services Advent Group Ministries,

Inc. (temporarily not accepting new clients / temporalmente no aceptar

nuevos clientes)

(19)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Last Name Apellido

First Name Nombre

License Licencia

National Provider Identification Number

Numero de identificacion del proveedor nacional

License Number Numero de Licencia

Completed Cultural Competence Training Entrenamiento de Competencia Cultural

Completado

Ascierto Cristina Licensed Marriage and Familty Therapist 1992150098 LMFT 52863 Yes / Sí

Bentley Gregory Registered Substance Use Disorder Counselor 1922637743 R1379250320 Yes / Sí

Bowman Annette Teresa Certified Substance Use Disorder Counselor 1013385095 6449 Yes / Sí

Brooks Karlan Registered Substance Use Disorder Counselor 1326519406 R1331691218 Yes / Sí

Dale Andrew Registered Substance Use Disorder Counselor 1811514045 14049‐RAC Yes / Sí

Finley Brian Certified Substance Use Disorder Counselor 1982071833 10682 Yes / Sí

Gist Nathan Certified Substance Use Disorder Counselor 1326794256 Ci32810521 No / No

Gordon Nicole Registered Substance Use Disorder Counselor new hire R1445630921 No / No

Hay Eugene Certified Substance Use Disorder Counselor 1437695467 Aii2781214 No / No

Hines Joy Registered Substance Use Disorder Counselor 1891441671 R1394670620 Yes / Sí

Kerler Jenna Certified Substance Use Disorder Counselor 1568839926 C0i07190317 Yes / Sí

LaCome Adrienne Registered Substance Use Disorder Counselor 1487250528 11398 Yes / Sí

Lord Anthony Registered Substance Use Disorder Counselor 1376070490 10202 Yes / Sí

Pilgrim Cynthia Medical Doctor 1851554588 A 139058 Yes / Sí

Regan Sara Registered Substance Use Disorder Counselor 1912503806 R1409961120 Yes / Sí

Smith William J Registered Substance Use Disorder Counselor 1740810142 R1355590719 Yes / Sí

Taylor Anthony Registered Substance Use Disorder Counselor 1750689758 R1441110821 No / No

Helen Vine Recovery Center (Buckelew Programs)

(20)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Martin Katherine Registered Substance Use Disorder Counselor 1225689680 R1355280719 Yes / Sí

Meneweather Leslie Associate Marriage and Family Therapist 1740528645 AMFT 80280 Yes / Sí

Meyer Pamela Licensed Marriage and Family Therapist 1699232074 LMFT 25045 Yes / Sí

Williams Patricia Certified Substance Use Disorder Counselor 1700275104 Aii52480218 Yes / Sí

Completado

Boisclair Earl Certified Substance Use Disorder Counselor 1255725495 C052540518 Yes / Sí

Ferguson, Jr. Lindsay Licensed Marriage and Family Therapist 1922308295 LMFT 43373 Yes / Sí

Hernandez Angie Certified Substance Use Disorder Counselor 1689791600 Aii5680616 Yes / Sí

Sandberg Russell Medical Doctor 1265522528 G 26538 Yes / Sí

Bay Area Comummunity Resources

Marin Services for Men (Marin Outpatient and Recovery Services)

(21)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

DeVido Jeffrey Medical Doctor, Psychiatry 1932368560 A126745 Yes / Sí

Jefferson Marie Certified Substance Use Disorder Counselor 1144539495 8200 No / No

Kallok Rachel Registered Substance Use Disorder Counselor 1780278861 11301 Yes / Sí

Lamorte Michael Certified Substance Use Disorder Counselor 1649789124 Ci27450619 Yes / Sí

Lampkin Javon (Jojo) Registered Substance Use Disorder Counselor 1235779844 R1373891219 No / No

Marquardt‐Byrd LaRee Licensed Marriage and Familty Therapist 1720232259 LMFT 31559 Yes / Sí

McHenry DeMarquis Registered Substance Use Disorder Counselor 1740936889 R1419850221 Yes / Sí

Miller Alan Certified Substance Use Disorder Counselor 1215201660 C040650117 Yes / Sí

Nelson Michael Certified Substance Use Disorder Counselor 1578844486 10073 No / No

Owens Rebecca Certified Substance Use Disorder Counselor 1568749653 Aii059970618 Yes / Sí

Prince Stephen Certified Substance Use Disorder Counselor 1912542457 RA9750120 Yes / Sí

Scovis Teena Licensed Marriage and Familty Therapist 1396282786 LMFT 32038 Yes / Sí

Triolo Michael Certified Substance Use Disorder Counselor 1609318385 C039160916 Yes / Sí

County of Marin (Road to Recovery)

(22)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Barton Justin Registered Substance Use Disorder Counselor 1992269930 Ci34321121 Yes / Sí

Benavides Jose Registered Substance Use Disorder Counselor 1447843818 11503 Yes / Sí

Ellis‐Bello Lisa Certified Substance Use Disorder Counselor 1447798566 12520 Yes / Sí

Benham Bruce Registered Substance Use Disorder Counselor 1942889985 11256 No / No

Brown Lea Certified Substance Use Disorder Counselor 1881159598 R1330681218 Yes / Sí

Browning Tom Certified Substance Use Disorder Counselor 1063793727 C14751214 Yes / Sí

Clark Jeffrey Certified Substance Use Disorder Counselor 1437802394 9559 Yes / Sí

Davila Michael Certified Substance Use Disorder Counselor 1770715096 7729 Yes / Sí

Downs Timothy Licensed Advanced Alcohol and Drug Counselor 1871627778 LCi11030318 Yes / Sí

Eckles Tamela Registered Substance Use Disorder Counselor 1568117836 12905 No / No

Eskridge James Registered Nurse/Nurse Practitioner 1194873844 RN 328302/NP 5577 No / No

Fregoso‐Vega Anthony Certified Substance Use Disorder Counselor 1871153536 7454 Yes / Sí

Georgiev Georgie Registered Substance Use Disorder Counselor 1437802394 R1456330122 Yes / Sí

Hallman Jon Certified Substance Use Disorder Counselor 1902263320 C039000816 Yes / Sí

Johnson Anthony Registered Substance Use Disorder Counselor 1326686973 9817 Yes / Sí

Longini Caitlin Registered Substance Use Disorder Counselor 1285389551 R1457350222 No / No

Marshall Precious Registered Substance Use Disorder Counselor 1285287854 R1347860519 Yes / Sí

McCray Dennis Certified Substance Use Disorder Counselor 1245506583 10352 Yes / Sí

Center Point, Inc.

(23)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Morgan Matthew Certified Substance Use Disorder Counselor 1982952214 8743 Yes / Sí

Smith Chelsea Registered Substance Use Disorder Counselor 1578218848 12839 No / No

Smith Karl Certified Substance Use Disorder Counselor 1356621148 9919 Yes / Sí

Taylor Rodney Licensed Marriage and Familty Therapist 1588058697 LMFT 12402 Yes / Sí

Taylor Sushma Licensed Marriage and Familty Therapist 1275927394 LMFT 24269 Yes / Sí

Ukaoma Charles Licensed Professional Clinical Counselor 1598741233 LPCC 9248 No / No

Wesson Prudence Registered Substance Use Disorder Counselor 1821508417 R126797017 Yes / Sí

Center Point, Inc. (Continued)

(24)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Beggs Dawn Registered Substance Use Disorder Counselor 1821483454 R1302680418 Yes / Sí

Borges Aline Licensed Vocational Nurse 1316678337 704140 No / No

Davis Brittney Registered Substance Use Disorder Counselor 1568120228 R1448161021 No / No

Eisenberg Elyse Medical Doctor 1316966815 G 64542 No / No

Hohmann Debra Family Nurse Practitioner 1114506417 95017059 No / No

Kameron Alessandra Certified Substance Use Disorder Counselor 1295944809 Ci1870315 Yes / Sí

Lahai Darlington Registered Substance Use Disorder Counselor 1598339152 11692 No / No

Lara Gabriela Registered Substance Use Disorder Counselor 1811523046 R1380520320 Yes / Sí

Moriguchi Ryoko Licensed Marriage and Family Therapist 1811029713 LMFT 47591 Yes / Sí

Norman Royal Certified Substance Use Disorder Counselor 1609106608 CO57600618 Yes / Sí

Quides Sachiko Associate Marriage and Family Therapist 1619540713 AMFT 127426 No / No

Quinones Jenine Associate Marriage and Family Therapist 1487710026 131352 Yes / Sí

Rad Parmis Medical Doctor 1598977522 C 168795 No / No

Tocher Danielle Licensed Marriage and Family Therapist 1962729772 LMFT 114138 Yes / Sí

Whitlow Dowaun Psychiatric Technician 1740911759 40051 No / No

Marin Treatment Center

(25)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Chavez Ivanna Registered Alcohol Drug Technician I 1841798394 R1303030418 Yes / Sí

Collins Wilzelta Certified Substance Use Disorder Counselor 1831497767 Aii056160518 No / No

Dixon James Registered Psychological Associate 1639624646 94025842 Yes / Sí

Gemmill Brandy Registered Substance Use Disorder Counselor 1134663214 R1314560718 Yes / Sí

Hippen Kelsey DHCS Waivered 1104191832 N/A Yes / Sí

Macias Raymundo Registered Substance Use Disorder Counselor 1598281990 CiCA02201119 Yes / Sí

Martin Rashena Licensed Marriage and Family Therapis 1932501103 LMFT 113636 Yes / Sí

Nebres Renita Associated Marriage and Family Therapist 1487171518 AMFT 102482 Yes / Sí

Newcomb Charles Licensed Clinical Social Worker 1124165006 LCSW 67159 No / No

Robertson Shannon Registered Substance Use Disorder Counselor 1962995795 12646 Yes / Sí

Robles John Registered Substance Use Disorder Counselor 1881194165 R1286620118 Yes / Sí

HealthRIGHT 360

(26)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Completado

Jacobsen Dustin Certified Substance Use Disorder Counselor 1003296195 11312 Yes / Sí

Kiruuta Paul Nurse Practitioner 1124562939 95006004 Yes / Sí

Firdoos Saima Medical Doctor 1740621101 A171938 Yes / Sí

Richard Nicole Registered Substance Use Disorder Counselor 1386306835 11153 Yes / Sí

Rieger Rory Certified Substance Use Disorder Counselor 1093352940 B00002410322 Yes / Sí

Last Name Apellido

First Name Nombre

License Licencia

National Provider Identification Number Numero de identificacion del

proveedor nacional

License Number Numero de

Licencia

Completed Cultural Competence Training

Entrenamiento de Competencia Cultural

Completado

Bayan Ruby Physician and Surgeon 1023166980 A 36859 Yes / Sí

Coghill Jacqueline Nurse Practitioner 1740831767 95012163 Yes / Sí

Waterfront Recovery Services

Ritter Center

(27)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Last Name Apellido

First Name Nombre

License Licencia

National Provider Identification Number Numero de identificacion del

proveedor nacional

License Number Numero de

Licencia

Completed Cultural Competence Training

Entrenamiento de Competencia Cultural

Completado

Abeyta Sean Registered Substance Use Disorder Counselor 1710634233 R145281221 Yes / Sí

Alexis Carmen Registered Substance Use Disorder Counselor 1336657642 R1301400418 Yes / Sí

Ament Jason Registered Substance Use Disorder Counselor 1235889650 R1446991021 Yes / Sí

Biley Cheryl Certified Substance Use Disorder Counselor 1275818767 C4221214 Yes / Sí

Box Kimberly Registered Substance Use Disorder Counselor 1053951848 11237 Yes / Sí

Butler Elizabeth Registered Substance Use Disorder Counselor 1134890296 R1367191019 Yes / Sí

Carter Michele Registered Substance Use Disorder Counselor 1982272647 14437‐RAC Yes / Sí

Evans Solita Registered Substance Use Disorder Counselor 1801403142 R1294780318 Yes / Sí

Foffipano Steven Registered Substance Use Disorder Counselor 1497340376 10665 Yes / Sí

Gardner Joseph Licensed Clinical Social Worker 1467998948 LCSW 20652 Yes / Sí

Godwin Matthew Registered Substance Use Disorder Counselor 1275130304 11088 Yes / Sí

Kendall Vincent Registered Substance Use Disorder Counselor 1275156317 10502 Yes / Sí

Murray Christopher Certified Substance Use Disorder Counselor 1326563487 10160 Yes / Sí

Perry Ashley Registered Substance Use Disorder Counselor 1497395230 R1373821219 Yes / Sí

Perry Barbara Licensed Clinical Social Worker 1649611781 LCSW89970 Yes / Sí

Saffier Kenneth Medical Doctor 1487737144 G36471 Yes / Sí

Vincent Kendall Registered Substance Use Disorder Counselor 1275156317 10502 Yes / Sí

Washington Wayne Certified Substance Use Disorder Counselor 1528552338 10097 Yes / Sí

White Edna Registered Substance Use Disorder Counselor 1679019152 R1221770116 Yes / Sí

Zelis Jason Certified Substance Use Disorder Counselor 1366967259 10669 Yes / Sí

Bi‐Bett

(28)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Last Name Apellido

First Name Nombre

License Licencia

National Provider Identification Number Numero de identificacion del

proveedor nacional

License Number Numero de

Licencia

Completed Cultural Competence Training

Entrenamiento de Competencia Cultural

Completado

Pickett Bruce Licensed Clinical Social Worker 1497883433 LCSW 18524 Yes / Sí

Sharpton Amanda Associate Social Worker 1083176671 ASW 94515 Yes / Sí

Smith Bonnie Jean Licensed Marriage and Family Therapist 1851319644 LMFT 33903 No / No

Advent Group Ministries, Inc.

(29)

PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES

Last Name Apellido

First Name Nombre

License Licencia

National Provider Identification Number Numero de identificacion del

proveedor nacional

License Number Numero de

Licencia

Completed Cultural Competence Training

Entrenamiento de Competencia Cultural

Completado

Gardiner Matthew Physician and Surgeon 1629084710 C 159653 Yes / Sí

Gonzalez Aura Certified Alcohol and Druc Counselor 1023406956 A058410920 Yes / Sí

Phillips Anna Licensed Marriage and Family Therapis 1922334341 LMFT 83288 Yes / Sí

Roskey Elizabeth Registered Alcohol and Drug Technician 1285100800 R1285741217 Yes / Sí

Smith Matthew Registered Alcohol and Drug Technician 1174194872 R1434260621 Yes / Sí

Torres Canales Jesus Registered Alcohol and Drug Technician 1033760103 R1432730621 Yes / Sí

Zeltser Jason Psychologist 1124683388 30915 Yes / Sí