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Does Blue Cross Blue Shield (BCBS) Cover Addiction Treatment in Los Angeles?

Yes, Blue Cross Blue Shield (BCBS) does cover addiction treatment in Los Angeles, but the exact services and costs depend on your specific plan. Most BCBS policies include coverage for key treatment options such as medical detox, inpatient or residential rehab, outpatient programs like partial hospitalization or intensive outpatient, counseling and therapy, and even medication assisted treatment. Federal laws like the Mental Health Parity and Addiction Equity Act and the Affordable Care Act require insurance providers, including BCBS, to cover mental health and substance use disorder treatment at comparable levels to physical health services.

However, the coverage specifics, including the extent of services covered and any out-of-pocket costs, may vary depending on the specific BCBS plan, state regulations, and individual policy details. It’s advisable for individuals considering addiction treatment to contact BCBS directly or consult their policy documents to understand their coverage options and any requirements or limitations associated with seeking treatment in Southern California. Harmony Place offers multiple rehab centers in California that accept Blue Cross Blue Shield for addiction treatment. For more information on using your Blue Cross Blue Shield rehab plans for treatment, contact us at 855-652-9048 or complete an insurance verification form online.

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    Terms to Know About Insurance

    • Premium: Your monthly payment to keep your insurance active.

    • Deductible: What you pay out of pocket before insurance starts covering costs.

    • Copayment (Copay): A set fee for a service, like a doctor visit or prescription.

    • Coinsurance: The percentage of costs you pay after meeting your deductible.

    • Out-of-Pocket Maximum: The most you pay in a year; after this, insurance covers 100% of covered services.

    • In-Network Provider: A doctor or facility contracted with your insurance for discounted care.

    • Out-of-Network Provider: A provider not contracted with your insurance; costs are usually higher.

    • Prior Authorization: Approval from your insurer needed before certain services or medications.

    What Addiction Treatment Programs Does BCBS Cover?

    Blue Cross Blue Shield (BCBS) offers comprehensive coverage for addiction treatment through various programs and services. The specifics of coverage can vary depending on your plan and location, so it’s essential to consult your local BCBS provider for detailed information.

    BCBS typically covers a range of addiction treatment services, including:

    • Inpatient Rehabilitation: Residential treatment programs that provide intensive care and support.

    • Outpatient Services: Programs that allow patients to receive treatment while living at home.

    • Medication-Assisted Treatment (MAT): Use of FDA-approved medications to help manage withdrawal symptoms and reduce cravings.

    • Behavioral Therapy: Individual and group counseling sessions to address the psychological aspects of addiction.

    • Detoxification Services: Medically supervised withdrawal to safely manage the detox process.

    Does BCBS Cover Dual Diagnosis Treatment?

    Yes, Blue Cross Blue Shield (BCBS) generally covers dual diagnosis treatment, which addresses both substance use disorders (SUDs) and co-occurring mental health conditions such as depression, anxiety, and PTSD. This integrated approach is recognized as essential for effective care and is typically included in BCBS plans.

    Does BCBS Cover Virtual or Telehealth Addiction Treatment?

    Many BCBS plans now cover telehealth and virtual counseling for addiction treatment, allowing members to access therapy and support from home.

    How to Use BCBS Insurance for Rehab

    • Verify Coverage: Check your BCBS plan documents or member portal to see what addiction treatment services are covered. You can also reach out to a rehab center directly to find out about coverage at your chosen facility.

    • Find In-Network Providers: Use the BCBS Provider Finder to locate approved rehab centers, ideally Blue Distinction Centers.

    • Check Plan Requirements: Confirm if prior authorization or a primary care referral is needed for rehab services.

    • Gather Documentation: Collect your member ID, medical records, and any necessary insurance forms.

    • Contact BCBS: Call member services for guidance on coverage, costs, and approved facilities.

    • Confirm Costs: Understand your deductible, copays, coinsurance, and out-of-pocket maximum before starting treatment.

    • Enroll and Start Treatment: Schedule admission with the rehab center once coverage and authorizations are confirmed.

    • Follow-Up Care: Use BCBS coverage for outpatient therapy, counseling, and ongoing recovery support.

    Can I Use BCBS in a Different State?

    If you have health insurance through an employer in one state but live in another, your coverage usually still works because most large insurers, including Blue Cross Blue Shield, have national networks. For example, if your employer is based in Florida but you live in California, you would be enrolled in the Florida-based plan, yet you could still use your insurance in California through the national BlueCard program. This program connects local BCBS companies so that members can see in-network doctors, hospitals, or treatment centers across state lines. Your plan’s benefits, deductibles, and copays are based on the state where your insurance is issued, but care you receive in another state is processed and billed through the local BCBS company there. In most cases, this means you can access in-network care outside your home state, but it is always best to confirm provider participation and check if prior authorization is required for certain services.

    BCBS Insurance Eligibility for Rehab Coverage

    Eligibility for rehab coverage through Blue Cross Blue Shield (BCBS) depends on the specific plan you are enrolled in, but there are some common factors across most policies. BCBS typically considers addiction treatment a medically necessary service, which means members may qualify for coverage if a licensed provider diagnoses a substance use disorder and recommends treatment. Most plans cover a range of services, including detox, inpatient rehab, outpatient programs, counseling, and medication-assisted treatment, though the level of coverage varies by state and plan type.

    To use your BCBS insurance for rehab, you must be an active member with premiums paid and up to date. Many plans require pre-authorization before starting inpatient or residential treatment to confirm that the program is medically necessary. In some cases, a referral from a primary care doctor or behavioral health provider is also needed. Coverage may differ depending on whether you choose an in-network or out-of-network rehab center, with in-network facilities typically offering much lower out-of-pocket costs.

    About Blue Cross Blue Shield (BCBS) Insurance

    Blue Cross Blue Shield (BCBS) is a nationwide federation of 33 independent and locally operated health insurance companies that provide coverage to individuals, families, and employers across the United States. Together, these companies insure more than 115 million people, making BCBS one of the largest and most recognizable health insurance brands in the country.

    Blue Cross Blue Shield traces its roots back to the early 20th century when hospitals and employers began creating affordable health coverage programs. Blue Cross was founded in 1929 through the Baylor Plan in Texas, which offered prepaid hospital care for a small monthly fee. Around the same time, Blue Shield formed in the Pacific Northwest to provide affordable physician services for loggers, miners, and other workers. Both programs expanded quickly, and by the 1940s they covered millions of Americans through dozens of hospital and medical plans. In 1966, BCBS companies played a central role in administering Medicare claims for nearly 5 million people. The Blue Cross Blue Shield Association was officially created in 1982 when the two organizations merged under a single national federation.

    Each BCBS company operates in specific states or regions. For example, Anthem Blue Cross serves members in California, while other Blue Cross or Blue Shield organizations serve members in different states. Even though they are part of the same network and share the Blue Cross Blue Shield name, each company is independently managed and sets its own policies, provider networks, and coverage options.

    BCBS is known for offering a wide range of health insurance products, including individual and family plans, employer sponsored plans, Medicare, and Medicaid options in some states. The organization is also well known for its extensive network of doctors, hospitals, and treatment centers, which makes it easier for members to access care nationwide.

    Established in 1929, the Blue Cross Blue Shield (BCBS) organization originated as a federation of independent health insurance organizations aiming to enhance healthcare accessibility and affordability nationwide. Today, BCBS is a prominent and extensive network, providing millions of Americans with diverse, tailored health insurance solutions through its member companies. 

    BCBS provides various insurance options, including individual and group health plans, Medicare plans for seniors, and supplemental coverage options. Its coverage extends to a broad spectrum of healthcare services, encompassing preventive care, medical treatments, prescription drug addiction, and more. BCBS operates under different brand names through its regional member companies, reflecting its localized presence and commitment to serving diverse communities. This expansive network and comprehensive coverage offerings make BCBS a vital component of the American healthcare landscape, striving to ensure access to quality healthcare for individuals and families nationwide. To learn more about our rehab services and treatment programs, contact us online at Harmony Place Treatment Center by calling 855-652-9048

    Brands, Products, and Services from BCBS

    Brands, Products, and Services from BCBS

    Blue Cross Blue Shield (BCBS) operates under different brand names and provides various healthcare solutions nationwide. They offer individual state health plans like Blue Cross Blue Shield of California, Medicare and Medicaid coverage, prescription drug plans, mental health services, and wellness programs, ensuring comprehensive care for diverse needs. 

    • Blue Cross Blue Shield Association: This national organization represents and supports independent BCBS companies, providing resources and promoting collaboration.
    • Blue Cross Blue Shield Health Plans: These are individual state or regional health plans, such as Blue Cross Blue Shield of California or Blue Cross Blue Shield of Texas, serving local communities with comprehensive healthcare coverage.
    • PPO Plans (Preferred Provider Organization): BCBS PPO plans offer flexibility in choosing healthcare providers, covering both in-network and out-of-network services to accommodate members’ preferences.
    • HMO Plans (Health Maintenance Organization): Emphasizing preventive care, HMO plans usually require members to choose a primary care doctor and obtain referrals for specialist consultations, ensuring coordinated and cost-effective healthcare delivery.
    • Medicare Plans: BCBS offers Medicare Advantage and Medicare Supplement plans to supplement coverage for Medicare beneficiaries, providing additional benefits and services beyond traditional Medicare.
    • Medicaid Managed Care: Many BCBS companies administer Medicaid-managed care plans in various states, delivering comprehensive healthcare services to low-income individuals and families.
    • Prescription Drug Coverage: BCBS health plans often include prescription drug coverage, helping members afford essential medications and manage their healthcare expenses effectively.
    • Behavioral Health Services: BCBS provides coverage for mental health and substance abuse treatment services, ensuring access to comprehensive care for members’ overall well-being.
    • Wellness Programs: BCBS plans incorporate wellness initiatives, health coaching, and resources to support members in adopting and maintaining healthy lifestyles and promoting preventive care and long-term health outcomes.
    • Global Health Coverage: Some BCBS companies offer international health insurance plans, catering to individuals or companies with global operations, providing coverage and assistance worldwide.
    • Employee Benefits and Group Health Insurance: BCBS offers businesses comprehensive group health insurance plans, providing coverage options for employees and their families and tailored benefits packages to meet employers’ needs.
    • Community and Outreach Programs: BCBS companies engage in various community health initiatives, outreach programs, and charitable contributions, aiming to improve health outcomes and address healthcare disparities in local communities.

    BCBS Plan Tiers

    • Bronze: Lowest monthly premiums, higher out-of-pocket costs. Covers ~60% of medical expenses.

    • Silver: Moderate premiums and out-of-pocket costs. Covers ~70% of medical expenses.

    • Gold: Higher premiums, lower out-of-pocket costs. Covers ~80% of medical expenses.

    • Platinum: Highest premiums, lowest out-of-pocket costs. Covers ~90% of medical expenses.

    • Catastrophic: Available for under-30s or certain hardship cases. Very low premiums, but high deductible. Designed for worst-case scenarios.

    Blue Cross Blue Shield Coverage Statistics & Information

    Blue Cross Blue Shield Coverage Statistics & Information

    • The federation was formed in 1982 from the merger of Blue Cross (founded in 1929) and Blue Shield (emerged in 1939).
    • As of 2025, the Blue Cross Blue Shield Association (BCBSA) reports that its member companies collectively provide health care coverage for approximately 118 million members across all 50 states, Washington, D.C., and Puerto Rico.
    • This extensive network includes over 2 million doctors and hospitals, making BCBS one of the largest health insurance providers in the United States.

    BCBS is known for providing substantial coverage for addiction treatment services across its extensive network. BCBS serves millions of members across all 50 states, making it one of the largest healthcare insurance providers in the country. Within its network, BCBS partners with numerous healthcare providers, including those specializing in addiction treatment, to ensure members have access to quality care. 

    In terms of dollars covered for addiction treatment, BCBS invests significant resources into providing comprehensive coverage for substance abuse services. The exact amount may vary depending on individual plans, state regulations, and specific treatment needs. BCBS boasts coverage percentages of 60%- 90% on its plans.

    Blue Cross Blue Shield Names & Differences

    Blue Cross Blue Shield is a national federation of 33 independent, locally operated companies that provide health insurance across the United States. Blue Cross originally focused on hospital coverage, while Blue Shield focused on physician and outpatient care, though today both offer full health insurance benefits. State-specific companies, like Blue Shield of California, operate independently within their state but follow BCBS guidelines and branding. Anthem is a large multi-state licensee of BCBS, offering both Blue Cross and Blue Shield plans under its management. Each BCBS company sets its own policies, provider networks, and premiums, but all share the BCBS name and national coordination.

    Some states have more than one BCBS company because of historical growth, mergers, and licensing agreements.

    Originally, Blue Cross and Blue Shield operated as separate, local organizations in each state. Over time, some states had multiple independent plans serving different regions or populations. When the Blue Cross Blue Shield Association allowed multi-state licensees, companies like Anthem or Highmark obtained licenses to operate BCBS-branded plans in states where a local BCBS company already existed.

    As a result, a state may have:

    • A legacy, state-based BCBS company serving the local population.

    • A multi-state licensee (like Anthem or Highmark) offering BCBS-branded plans in certain regions or for specific markets, such as employer groups or commercial plans.

    Each company is independent, with its own provider networks, policies, and premiums, even though they share the BCBS branding. This is why consumers might see two or more BCBS options in the same state.

    BCBS Names by State

    • Alabama: Blue Cross and Blue Shield of Alabama

    • Alaska: Premera Blue Cross and Blue Shield of Alaska

    • Arizona: Blue Cross Blue Shield of Arizona

    • Arkansas: Arkansas Blue Cross and Blue Shield

    • California: Anthem Blue Cross / Blue Shield of California

    • Colorado: Anthem Blue Cross and Blue Shield Colorado

    • Connecticut: Anthem Blue Cross and Blue Shield Connecticut

    • Delaware: Highmark Blue Cross Blue Shield Delaware

    • District of Columbia: CareFirst BlueCross BlueShield

    • Florida: Florida Blue

    • Georgia: Anthem Blue Cross and Blue Shield of Georgia

    • Hawaii: Blue Cross and Blue Shield of Hawaii

    • Idaho: Blue Cross of Idaho / Regence BlueShield of Idaho

    • Illinois: Blue Cross and Blue Shield of Illinois

    • Indiana: Anthem Blue Cross and Blue Shield Indiana

    • Iowa: Wellmark Blue Cross and Blue Shield

    • Kansas: Blue Cross and Blue Shield of Kansas

    • Kentucky: Anthem Blue Cross and Blue Shield Kentucky

    • Louisiana: Blue Cross and Blue Shield of Louisiana

    • Maine: Anthem Blue Cross and Blue Shield Maine

    • Maryland: CareFirst BlueCross BlueShield

    • Massachusetts: Blue Cross and Blue Shield of Massachusetts

    • Michigan: Blue Cross Blue Shield of Michigan

    • Minnesota: Blue Cross and Blue Shield of Minnesota

    • Mississippi: Blue Cross & Blue Shield of Mississippi

    • Missouri: Anthem Blue Cross and Blue Shield Missouri / Blue Cross and Blue Shield of Kansas City

    • Montana: Blue Cross and Blue Shield of Montana

    • Nebraska: Blue Cross and Blue Shield of Nebraska

    • Nevada: Anthem Blue Cross and Blue Shield Nevada

    • New Hampshire: Anthem Blue Cross and Blue Shield New Hampshire

    • New Jersey: Horizon Blue Cross and Blue Shield of New Jersey

    • New Mexico: Blue Cross and Blue Shield of New Mexico

    • New York: Anthem Blue Cross Blue Shield / Highmark Blue Cross Blue Shield of Western New York / Excellus BlueCross BlueShield

    • North Carolina: Blue Cross and Blue Shield of North Carolina

    • North Dakota: Blue Cross Blue Shield of North Dakota

    • Ohio: Anthem Blue Cross and Blue Shield Ohio

    • Oklahoma: Blue Cross and Blue Shield of Oklahoma

    • Oregon: Regence BlueCross BlueShield of Oregon

    • Pennsylvania: Capital Blue Cross / Highmark Blue Shield / Independence Blue Cross

    • Puerto Rico: BlueCross BlueShield of Puerto Rico

    • Rhode Island: Blue Cross & Blue Shield of Rhode Island

    • South Carolina: Blue Cross and Blue Shield of South Carolina

    • South Dakota: Wellmark Blue Cross and Blue Shield

    • Tennessee: BlueCross BlueShield of Tennessee

    • Texas: Blue Cross and Blue Shield of Texas

    • Utah: Regence BlueCross BlueShield of Utah

    • Vermont: Blue Cross and Blue Shield of Vermont

    • Virginia: Anthem Blue Cross and Blue Shield Virginia / CareFirst BlueCross BlueShield

    • Washington: Premera Blue Cross / Regence BlueShield of Washington

    • Wisconsin: Blue Cross Blue Shield of Wisconsin / Anthem BCBS Wisconsin

    • Wyoming: Blue Cross Blue Shield of Wyoming

    Blue Cross Blue Shield Rehabilitation Insurance

    Blue Cross Blue Shield Coverage at Harmony Place in Los Angeles

    Harmony Place operates three facilities in Los Angeles, California, catering specifically to individuals struggling with drug and alcohol addiction. With a focus on comprehensive rehabilitation services, Harmony Place offers tailored treatment programs designed to address the needs of each individual seeking recovery. 

    If you’re considering seeking treatment at Harmony Place, it’s worth noting that we accept various health insurance policies, including BCBS (Blue Cross Blue Shield). However, insurance coverage levels may vary depending on your specific BCBS plan and the type of treatment required. To determine your insurance coverage for rehab treatment at Harmony Place Drug and Alcohol Treatment Center, contact us online or call (855) 652-9048. We can provide detailed information about your insurance benefits and guide you through utilizing your Blue Cross Blue Shield rehab coverage plans.

    Map of areas around Harmony Place addiction rehab near LA

    Rehab Centers Near Me that Accept BCBS Insurance for Drug and Alcohol Addiction Treatment

    Are you in search of addiction treatment facilities in Los Angeles, California, that accept Elevance Health insurance? Look no further. Harmony Place, Harmony Place East, and Valley Restoration Center are reputable rehab centers that welcome Blue Cross Blue Shield (BCBS) insurance. These centers provide top-notch care to patients struggling with substance misuse and mental health disorders.

    Harmony Place – Woodland Hills, CA
    23041 Hatteras St.
    Woodland Hills, CA 91367

    Harmony Place

    Harmony Place, situated at 23041 Hatteras St, Woodland Hills, CA 91367, specializes in residential treatment programs tailored to individuals battling addiction. Their services encompass detoxification, therapy sessions, holistic treatments, and ongoing aftercare support, all aimed at fostering enduring recovery. Harmony Place prioritizes personalized care and implements evidence-based treatment.

    Harmony Place East

    Harmony Place East, located at 22913 Burbank Blvd Woodland Hills, CA 91367, provides a nurturing environment for clients seeking residential addiction treatment. mirroring its counterpart, Harmony Place East delivers therapeutic programs such as counseling, group therapy, family therapy, and holistic treatment activities. The facility emphasizes a comprehensive approach to recovery, addressing the physical, psychological, and emotional aspects contributing to substance abuse.

    Valley Restoration Center

    Valley Restoration Center specializes in outpatient addiction treatment services at 22900 Ventura Blvd, Ste 314, Woodland Hills, CA 91364. Their programs cater to individuals who may not require 24/7 care but still need structured support to overcome addiction. Services may include individual therapy, group counseling, medication management, and personalized relapse prevention strategies. With a focus on flexibility and accessibility, Valley Restoration Center empowers individuals to pursue sobriety while upholding their daily routines and obligations.

    How Much Does Rehab Treatment Cost With Blue Cross Blue Shield Insurance?

    How much is rehab with Blue Cross Blue Shield Insurance? Out-of-pocket costs for addiction rehab with BlueCross BlueShield vary depending on your plan and coverage. Typically, you can expect to pay copayments or coinsurance for each session or service received during rehab. You may have to meet your deductible before your insurance coverage takes effect, which could mean higher initial costs.

    For a more accurate estimate of your out-of-pocket expenses, reviewing your insurance plan’s details, including copayments, coinsurance rates, deductible amounts, and any coverage limitations or exclusions related to rehab services, is advisable. Additionally, contacting your insurance provider directly or consulting with a representative can further clarify your coverage and associated costs. Or call the knowledgeable financial team at Harmony Place (855) 652-9048 to learn about any out-of-pocket expenses you may have.

    Verifying Blue Cross Blue Shield Coverage

    How to Check the Coverage Levels of My BCBS Policy for Addiction Treatment

    To determine your BlueCross BlueShield (BCBS) policy’s coverage for addiction treatment in Southern California, contact BCBS directly using the customer service number on your insurance card. A representative can guide you through your policy, detailing coverage for therapy, support groups, medication-assisted treatment, and any preauthorization requirements or network providers in your area.

    Alternatively, you can complete an online insurance verification form to initiate the insurance verification process. By filling out this form, you can request assistance verifying your insurance coverage for addiction treatment services. Harmony Place can then help you navigate your BCBS policy to understand your benefits and any potential out-of-pocket costs associated with seeking addiction treatment in Southern California. This option may provide a convenient and streamlined process for determining coverage levels and exploring treatment options. Call our team at (855) 652-9048 with other questions.

    How to Get BlueCross BlueShield to Pay for Drug and Alcohol Addiction Treatment in Los Angeles, CA

    How to Get BlueCross BlueShield to Pay for Drug and Alcohol Addiction Treatment in Los Angeles, CA

    To ensure BCBS covers drug and alcohol addiction treatment in Los Angeles, CA, verify your insurance coverage by contacting BCBS directly via phone or their website. Once confirmed, locate a treatment facility accepting BCBS insurance. Their staff can help navigate insurance procedures, clarifying coverage and potential out-of-pocket expenses.

    Next, obtain any necessary referrals or preauthorizations BCBS requires for addiction treatment services. This might involve consulting with your primary care physician or obtaining approval from BCBS before starting treatment. Once you’ve completed these steps, begin your addiction treatment program at the chosen facility. Keep detailed records of your treatment and related expenses, as BCBS may require documentation to process claims. By following these steps and staying in communication with both BCBS and your treatment facility, you can increase the likelihood of BCBS covering your drug and alcohol addiction treatment in California. To find out more about what your BCBS insurance plan covers at Harmony Place, fill out the insurance verification form online or call us today.

    How Often Will My BCBS Policy Pay for My Rehab?

    How Often Will My BCBS Policy Pay for My Rehab?

    Rehab coverage under Blue Cross Blue Shield (BCBS) policies is contingent upon plan specifics. Generally, BCBS offers substance abuse and mental health treatment coverage, including rehab services, yet the extent of coverage and allowed sessions or days may differ according to individual plans.

    Review your BCBS plan documents or contact your insurance provider to determine how often your BCBS policy will pay for your rehab. They can provide detailed information about your coverage, including any limitations, co-pays, or deductibles that may apply. Additionally, they can help you understand the process for obtaining authorization for rehab services and any requirements you need to fulfill to receive coverage. By staying informed about your insurance benefits, you can make the most of your coverage and access the treatment you need for recovery. Contact us at Harmony Place to learn more about our treatment options.

    A woman sitting outdoors on a bench checking BCBS coverage for addiction rehab
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      Why Choose Harmony Place

      At Harmony Place, decades of clinical expertise meet genuine compassion and individualized care, because recovery isn’t just about sobriety; it’s about rediscovering who you are. Founded by a therapist who has seen addiction’s toll firsthand and refused to give up, Harmony Place is a sanctuary where evidence-based treatment and real human connection come together to create lasting change.

      • Therapist-founded care
      • Physicians specializing in addiction care
      • 24/7 on-site nurses
      • Evidence-based treatment programs
      • Dual diagnosis expertise
      • Exclusive 12-bed program
      • A gourmet chef
      • Accepts many insurances
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      Comprehensive & Accredited Rehab

      At Harmony Place, our goal is to be among the best rehab centers in Los Angeles, California, through compassionate and expert care with an emphasis on treating each individual with dignity.

      Harmony Place is a California state-licensed treatment facility and a leader in evidence-based treatment for co-occurring mental health and substance use disorders. We offer an integrated program that maximizes clinical service and education.

      Professional Treatment Team

      Our professional addiction treatment and recovery care team includes:

      • Contracted physicians specializing in addiction care
      • Contracted addiction psychiatrist, who utilizes a holistic approach
      • Licensed counselors and therapists
      • Licensed vocational nurses, on site 24/7
      • Support staff specially trained in understanding & caring for our clients
      • A gourmet chef
      • Specialists in psychodrama, EMDR, DBT, somatic therapies & art therapy
      • Specially trained admissions specialists and discharge coordinators
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