Substance Abuse Internet Referral (SAIR) Service
To submit your agency to be included in our database, please complete the form below:
Agency Name
*
Street Address
*
Street Address 2
City
*
State
*
ZIP
County
Phone
*
Fax
Email
Website
Evening Programs
Licensed By (if any)
Accredited By (if any)
Public Transportation Available
Bus
Train
Gender
Male only
Female Only
Any
Age Range
0 to 12 Years
13 to 17 Years
18 and Older
ASAM
Level 1
Level 2
Level 3
Level 4
None
Care Level
Outpatient-Day
Short-Term Residential
Long-Term Residential
Halfway House
Three-Quarter House
Fees
Free
Sliding Scale
Straight
Other
Fee Description
Insurance
Medicaid
Medicare
SSI
Private
Other Insurance
None
Non-English Languages Spoken
ATP
American Sign Language
Cantonese
Chinese
Danish
Dutch
French
Fukian
German
Greek
Hebrew
Hindi
Italian
Japanese
Korean
Laotian
Mandarin
None
Norwegian
Phillipine
Portugese
Punjabi
Russian
Spanish
Swedish
Urdu
Vietnamese
Medication(s) Prescribed
Antabuse
Naltrexone
Methadone
None
Organization Type
Private Hospital
Non-Profit Organization
DHR Facility
Private Practice
For-Profit Organization
Other
Population Served
Handicap
Gay-Lesbian
Dual-Diagnosis
HIV-AIDS
Physical Abuse
Sexual Abuse
Services Offered
Aftercare/Relapse Prevention
Assessment/Evaluation
Children Can Accompany
Codependence
Detox
Drug Testing
DUI
Eating Disorders
Gambling
Intervention
Sexual Addiction
Shelter/Housing
Smoking Cessation
Speakers
Physical Abuse
Pregnancy
Sexual Abuse
Other
Drug and Alcohol Courses
Therapy Type
Individual
Couple
Family
Christian
Alcoholics Anonymous
12 Step
Open 12 Step Groups
Group Therapy
Other
Comments
Contacts
©2009 The Council on Alcohol and Drugs, Inc.
