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300 N. Dakota Avenue, Suite 117, Sioux Falls, SD 57104
Sponsored by The University of South Dakota Sanford School of Medicine medical students under the supervision of internal medicine physicians, provide health care with the goal is to provide health care to uninsured patients over the age of 18 while providing a learning opportunity for medical students. Offers care of any acute medical problems and also offers STD testing and free flu shots.
Psychiatry services also available during two appointment times (5:30pm and 6:30pm). The first clinic of each month will be for seeing new patients at these appointments while the second clinic will be for follow-up and seeing established patients.
This clinic also offers prescription assistance.
What's Here
Sexually Transmitted Infection ScreeningClinical Psychiatric EvaluationAdult PsychiatryPsychiatric Medication ServicesUrgent Care CentersFlu VaccinesPsychiatric Case ManagementIndividual CounselingPsychiatric Aftercare ServicesPrescription Expense AssistancePhysical ExaminationsGeriatric PsychiatryCommunity ClinicsMental Health Screening
221 S. Main Street, Suite 2, Milbank, SD 57252
Provide addictions assessments and mental health therapy to adolescents through adults. Community mental health center offering the following services: Moral Recognition Therapy (MRT) Group for adolescents and adults, Dialectical Behavioral Therapy (DBT), individual counseling, marriage and family counseling, psychotropic medication management, domestic violence evaluations and follow up services, psychiatric evaluations and medication management. Walk-in assessments are available at the Watertown and Sisseton locations. Also offers and telehealth services.
What's Here
Community Health WorkersGeneral Crisis Intervention HotlinesClinical Psychiatric EvaluationTelemental HealthMedication Information/ManagementMental Health Expense AssistancePsychiatric Medication ServicesMarriage and Relationships CounselingSpouse/Intimate Partner Abuse CounselingIndividual CounselingConjoint CounselingFamily CounselingGroup CounselingMental Health ScreeningAnger ManagementAdolescent/Youth CounselingDialectical Behavior TherapyCommunity Mental Health AgenciesBereavement and Grief CounselingCase/Care ManagementHome Based Mental Health ServicesHealth Facility LicensingCentral Intake/Assessment for Substance Use DisordersGeneral Counseling Services
24100 S. Rockerville Road, Owen School, Rapid City, SD 57702
A 24-hour residential and psychiatric treatment center serving emotionally disturbed and learning disabled children between the ages of 4-14. This program also provides special education services and intensive therapy for children and families who are experiencing difficulty at home, in school, or in the community. Services include day school and residential programs, evaluation services, family supportive services, consultation and training services.
Madsen House is designed to provide comprehensive psychiatric diagnosis and assessments, as well as short-term treatment for children ages 4-14 with emotional and behavioral problems.
Madsen House Intensive Unit is an eight-bed unit for children ages 4-14 who have severe or chronic emotional and behavioral disorders. Treatment includes psychiatric care, adaptive management, individual, group and family therapy and academic programming. Childcare teams consist of three counselors and one team coordinator, creating a ratio of one staff for every two children.
What's Here
3200 Canyon Lake Drive, Rapid City, SD 57702
Oyate Behavioral Health is a component of Integrated Health Care. Individual Behavioral health services are offered through Clinic Appointment and Telehealth scheduled appointments. Walk-ins may be available. Provides the following services: comprehensive assessment, outpatient child/adult counseling and psychiatric services, medication management, group and family counseling, community support and education, telepsychiatry consultation, and dual diagnosis treatment. Also offers sweat lodge, please call to schedule.
What's Here
101 W. 11th Avenue, Webster, SD 57274
Offers outpatient counseling services for individual, couple, and families. Staff members work with the client to provide services in the home, community, or office at the discretion of the client. Substance use evaluation, assessment, and treatment is also provided. Walk in assessments and telehealth services are available during normal business hours at the Aberdeen location. Psychiatric services are also available to those over the age of 18 including assessments and medication management.
What's Here
General Counseling ServicesBereavement and Grief CounselingResidential Treatment Facility LicensingAutism TherapyConjoint CounselingIndividual CounselingCrime Victim/Witness CounselingHealth Facility LicensingAdult PsychiatryPsychological AssessmentOutsourcing/Contracted ServicesSubstance Use Disorder Treatment Expense AssistanceGeneral Crisis Intervention HotlinesGeriatric PsychiatryCentral Intake/Assessment for Substance Use DisordersCommunity Mental Health AgenciesSubstance Use Disorder CounselingCareer CounselingLife Skills EducationGroup CounselingComprehensive Outpatient Substance Use Disorder TreatmentMarriage and Relationships CounselingEmployee Assistance ProgramsFamily CounselingElectronic Communication Problem ReportingDivorce CounselingPsychiatric Aftercare ServicesCase/Care ManagementClinical Psychiatric EvaluationAdolescent/Youth CounselingGeneral Assessment for Substance Use DisordersHome Based Mental Health ServicesMental Health ScreeningPsychiatric Medication ServicesPsychiatric Case ManagementMental Health Expense AssistanceMedication Information/ManagementTelemental Health
1615 N. Harrison Avenue, Suite 20, Pierre, SD 57501
An outpatient clinic providing primary care, laboratory and pathology testing, mental health care, and suicide prevention.
What's Here
Marriage and Relationships CounselingBereavement and Grief CounselingWomen's Health CentersFlu VaccinesVeteran Reintegration CounselingSpouse/Intimate Partner Abuse CounselingMental Health ScreeningDiagnostic Imaging/RadiologyVeteran Outpatient ClinicsGun Safety Devices and Secure StoragePhysical ExaminationsGeneral Counseling ServicesGeneral Laboratory TestsFederal Government Agencies/DepartmentsCase/Care ManagementConjoint CounselingAdult Survivor of Child Abuse CounselingSuicide Prevention ProgramsAdult PsychiatryVeteransGeriatric PsychiatryIndividual CounselingTelemental HealthDivorce CounselingClinical Psychiatric Evaluation
220 E. Prairie Road, Eagle Butte, SD 57625
An outpatient clinic that offers mental health care counseling services, treatment for post-traumatic stress disorder (PTSD), and suicide prevention services to veterans through private counseling, group therapy, medications, care coordinators, case managers, gun safety locks, and outreach and community education.
What's Here
Veteran Reintegration CounselingClinical Psychiatric EvaluationVeteransCase/Care ManagementIndividual CounselingMedication Based Treatment for Substance Use DisordersSubstance Use Disorder CounselingSpouse/Intimate Partner Abuse CounselingAdult PsychiatrySuicide Prevention ProgramsFederal Government Agencies/DepartmentsGeriatric PsychiatryBereavement and Grief CounselingMental Health ScreeningGun Safety Devices and Secure StorageMarriage and Relationships CounselingSubstance Use Disorder Treatment Expense AssistanceMental Health Expense AssistanceConjoint CounselingVeteran Outpatient ClinicsAdult Survivor of Child Abuse CounselingDivorce Counseling
2501 W. 22nd Street, Sioux Falls, SD 57105
The Mental Health Service Line provides connection to outpatient mental health services, psychiatry services, local recovery coordination, care coordination, and peer support services.
Also offers care for military sexual trauma, PTSD, suicide prevention and awareness outreach, and gun safety locks. Telehealth service options are available.
What's Here
Street Outreach ProgramsAnger ManagementAdult Child Sexual Abuse Survivor CounselingMental Health ScreeningSuicide Prevention ProgramsComprehensive Outpatient Substance Use Disorder TreatmentVeteran Outpatient ClinicsFederal Government Agencies/DepartmentsGeriatric PsychiatryTelemental HealthAdult Psychiatric Inpatient UnitsVeteransVeteran Reintegration CounselingCentral Intake/Assessment for Mental Health ServicesFamily CounselingIndividual CounselingClinical Psychiatric EvaluationMarriage and Relationships CounselingMedical Information ServicesSpouse/Intimate Partner Abuse CounselingConjoint CounselingGeneral Counseling ServicesBereavement and Grief CounselingGeneral Assessment for Substance Use DisordersAdult PsychiatryDivorce CounselingSexual Assault CounselingHomemaker AssistanceHomeless VeteransTobacco Use Education/PreventionGun Safety Devices and Secure StorageRelapse Prevention ProgramsSubstance Use Disorder CounselingSmoking/Vaping Cessation
660 W. 2nd Street, Carter, SD 57580
Offering health care services such as primary care, laboratory and pathology, mental health care, treatment in post traumatic stress disorder (PTSD), and suicide prevention.
What's Here
Veteran Outpatient ClinicsAdult Survivor of Child Abuse CounselingGeriatric PsychiatryBereavement and Grief CounselingMental Health ScreeningDiagnostic Imaging/RadiologyGeneral Counseling ServicesWomen's Health CentersMarriage and Relationships CounselingAdult PsychiatryHospital/Clinic Based TelemedicineVeteran Reintegration CounselingCase/Care ManagementSpouse/Intimate Partner Abuse CounselingTelemental HealthFederal Government Agencies/DepartmentsFamily CounselingPhysical ExaminationsGeneral Laboratory TestsFlu VaccinesVeteransClinical Psychiatric EvaluationDivorce CounselingGun Safety Devices and Secure StorageSuicide Prevention ProgramsIndividual CounselingConjoint Counseling
400 W. SD Highway 46, Wagner, SD 57380
Clinic provides primary care, mental health, and telehealth services. No emergency services are provided at the clinic.
Specialty services include:
Women's Health Care, Whole Care, Military Sexual Trauma Care, PTSD Care, Returning Service Member Care Management.
Mental Health services (may be offered via telehealth):
Individual, couples, and group psychotherapy
What's Here
Family CounselingFlu VaccinesClinical Psychiatric EvaluationSpouse/Intimate Partner Abuse CounselingCommunity ClinicsIndividual CounselingGeneral Counseling ServicesTelemental HealthHome Health CareGeriatric PsychiatryMeditationMental Health ScreeningMarriage and Relationships CounselingFederal Government Agencies/DepartmentsDivorce CounselingVeteransHospital/Clinic Based TelemedicineAdult Child Sexual Abuse Survivor CounselingVeteran Reintegration CounselingConjoint CounselingPhysical ExaminationsAdult PsychiatryGroup CounselingVeteran Outpatient ClinicsBereavement and Grief Counseling
Hospital Road, Pine Ridge, SD 57770
Offers primary care, mental health care, treatment for post traumatic stress disorder (PTSD), and suicide prevention. Also offers transitional and supportive housing for veterans experiencing homelessness.
Gun safety locks are available through the Suicide Prevention Coordinator.
What's Here
Transitional Housing/ShelterGeriatric PsychiatryWomen's Health CentersDiagnostic Imaging/RadiologySuicide Prevention ProgramsFederal Government Agencies/DepartmentsVeteran Outpatient ClinicsVeteransSubstance Use Disorder Treatment Expense AssistanceIndividual CounselingBereavement and Grief CounselingAdult Survivor of Child Abuse CounselingCase/Care ManagementMarriage and Relationships CounselingSpouse/Intimate Partner Abuse CounselingMental Health Expense AssistanceConjoint CounselingMental Health ScreeningGun Safety Devices and Secure StorageFlu VaccinesTelemental HealthClinical Psychiatric EvaluationVeteran Reintegration CounselingMedication Based Treatment for Substance Use DisordersGeneral Laboratory TestsDivorce CounselingGeneral Counseling ServicesAdult PsychiatryHospital/Clinic Based Telemedicine
3307 S.E. 10th Avenue, Aberdeen, SD 57401
Clinic provides primary care, mental health, home based primary care, and telehealth services. No emergency services are provided at the clinic.
Specialty Services include:
Audiology, Anticoagulation, and Home Based Primary Care.
Mental health Services:
individual, couples, and group psychotherapy
Telemental health available
Audiology Services:
including hearing aid fittings, adjustments, and replacement. Call to schedule an appointment.
The following programs and specialty care are available by telehealth:
Blind and Low Vision Rehabilitation, Primary Care, PTSD Care, and Returning Service Member Care.
What's Here
Hospital/Clinic Based TelemedicineCase/Care ManagementGeneral Counseling ServicesAdult PsychiatryMarriage and Relationships CounselingIndividual CounselingClinical Psychiatric EvaluationFederal Government Agencies/DepartmentsCommunity ClinicsFamily CounselingSpouse/Intimate Partner Abuse CounselingAdult Child Sexual Abuse Survivor CounselingConjoint CounselingDivorce CounselingGun Safety Devices and Secure StorageVeteran Reintegration CounselingGroup CounselingPhysical ExaminationsBereavement and Grief CounselingMental Health ScreeningWomen's Health CentersTelemental HealthSuicide Prevention ProgramsFlu VaccinesHome Health CareEye ExaminationsVeteran Outpatient ClinicsAudiological EvaluationsVeteransGeriatric Psychiatry
2000 S. Summit Avenue, Sioux Falls, SD 57105
Provides traditional outpatient mental health therapy for individuals, families, children, couples, and groups. Also provides psychiatric evaluations, medication management, and psychological assessments. Services can be accessed both in person and via telehealth services.
Children's services include case management and a home-based program that provides a wide range of therapeutic support.
Early childhood mental health services are also available including play therapy. Areas of specialization include depression, anxiety, grief, parenting challenges, attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), stress management, and issues related to trauma or abuse.
What's Here
Adult PsychiatryChild Abuse CounselingHome Based Mental Health ServicesMental Health ScreeningMental Health Expense AssistancePsychiatric Medication ServicesFamily CounselingEye Movement Desensitization and ReprocessingIndividual CounselingCommunity Mental Health AgenciesDialectical Behavior TherapyGeneral Counseling ServicesMarriage and Relationships CounselingParent Child Interactive TherapySubstance Use Disorder Treatment Expense AssistanceConjoint CounselingCrime Victim/Witness CounselingHealth Facility LicensingChild and Adolescent PsychiatryPsychological AssessmentClinical Psychiatric EvaluationResidential Treatment Facility LicensingGeriatric PsychiatryParent CounselingAdult Child Sexual Abuse Survivor CounselingAdolescent/Youth CounselingTelemental HealthMedication Information/ManagementSpouse/Intimate Partner Abuse CounselingComprehensive Outpatient Substance Use Disorder Treatment
2400 W. 49th Street, Sioux Falls, SD 57105
Individualized treatment including psychiatric and psychological evaluations, individual, couple, and/or family therapy. Treatment services for children, adolescents, adults, and seniors include but are not limited to:
Anxiety disorders
Mood disorders
Personality disorders
Somatization disorders
Psychosexual disorders
Schizophrenia
Post-traumatic stress disorders (PTSD)
Abuse issues
Eating disorders
Addictions
Dementia
Grief and loss
Stress management
Executive health
Evaluation and treatment of childhood emotional and behavioral disorders including Attention-Deficit/Hyperactive Disorders (ADD/ADHD)
Group therapy
Psychological testing
Neuropsychological testing
Couples counseling
These services are available via telemental health.
What's Here
General Counseling ServicesPsychological AssessmentConjoint CounselingClinical Psychiatric EvaluationSubstance Use Disorder CounselingParent Child Interactive TherapyChild Abuse CounselingCrime Victim/Witness CounselingFamily Counseling AgenciesMental Health ScreeningAdult PsychiatryChild and Adolescent PsychiatryDivorce CounselingPsychiatric Medication ServicesIndividual CounselingMarriage and Relationships CounselingBereavement and Grief CounselingEating Disorders TreatmentAdolescent/Youth CounselingGeriatric PsychiatrySpouse/Intimate Partner Abuse CounselingAdult Child Sexual Abuse Survivor CounselingTelemental HealthFamily CounselingSexuality CounselingParent Counseling
4400 W. 69th Street, Suite 1500, Sioux Falls, SD 57108
Individual, couples, or family therapy for the treatment of children, adolescents, adults, and seniors focusing on issues including, but are not limited to anxiety, mood, personality disorders, somatization disorders, psychosexual disorders, schizophrenia, post-traumatic stress (PTSD), abuse issues, eating disorders, dementia, grief and loss, childhood emotional and behavioral disorders, spirituality, stress management, and executive health. Evaluations available include psychiatric, psychological, neuropsychological, forensic, and custody.
What's Here
Faith Based CounselingMarriage and Relationships CounselingConjoint CounselingFamily CounselingAdult PsychiatryPsychological AssessmentAdult Child Sexual Abuse Survivor CounselingEating Disorders TreatmentSpecialized Pediatric EvaluationClinical Psychiatric EvaluationDivorce CounselingParent CounselingGeriatric PsychiatryParent Child Interactive TherapyAdolescent/Youth CounselingMental Health Expense AssistanceSpouse/Intimate Partner Abuse CounselingChild and Adolescent PsychiatryIndividual CounselingBereavement and Grief CounselingGeneral Counseling ServicesChild Abuse CounselingDivorce/Custody InvestigationSexuality CounselingDementia Management
116 W. Missouri Ave, Ste. 100, Pierre, SD 57501
Approaching mental health treatment with a holistic approach. Utilizes a combination of medications, supplements, psychotherapy, and lifestyle modifications to improve mental health. Also provides an individualized treatment plan and offers referrals to therapists, counselors, dietitians, health coaches, and wellness professionals.
This clinic offers esketamine (Spravato) for treatment-resistant depression.
What's Here
100 Lake Traverse Drive, Sisseton, SD 57262
The Woodrow Wilson Keeble Memorial Health Care Center is accredited by Joint Commission on Accreditation of Healthcare Organization, Inc. (JCAHO) serving Native American people living in or near Roberts County.
Services include Behavioral Health, Dental, Diabetes Care, Health Promotion/Disease Prevention, Laboratory, Nursing, Radiology, Optometry, Pharmacy (Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS), Primary Care, Public Health Nursing, Physical Therapy, Specialty Clinic (OB/GYN), Weight Loss/Nutrition, Well Child Care, Men/Women's Health, and Medication Disposal.
What's Here
Dental CarePsychological AssessmentIndividual CounselingPhysical ExaminationsGovernment Subsidized Prescription Drug BenefitsEye ExaminationsClinical Psychiatric EvaluationMental Health ScreeningMental Health Expense AssistanceCultural Heritage GroupsGeneral Counseling ServicesDiabetes Management ClinicsDialysis CentersIndian Health Service ClinicsCultural Transition CounselingPrescription Expense AssistanceMedication DisposalNative American CommunityCommunity ClinicsOphthalmology
3515 N. Broadway Avenue, Yankton, SD 57078
Provides for initial assessment and stabilization of adult psychiatric patients. During the 12-15 day average length of stay, the program initiates and develops treatment and discharge plans.
The program promotes and facilitates the patients independent functioning in daily activities. Emphasis is on providing care, treatment and rehabilitation services that will enable the patients to return to and function in the community at the earliest possible time.
The Acute Program is Medicare approved by the Health Care Financing Administration. The Intensive Treatment Unit is available for adults and adolescents who require short term intensive monitoring.
What's Here
123 19th Street N.E., Watertown, SD 57201
Provide addictions assessments and mental health therapy to adolescents through adults. Community mental health center offering the following services: Moral Recognition Therapy (MRT) Group for adolescents and adults, Dialectical Behavioral Therapy (DBT), individual counseling, marriage and family counseling, psychotropic medication management, domestic violence evaluations and follow up services, psychiatric evaluations and medication management. Walk-in assessments are available at the Watertown and Sisseton locations. Also offers and telehealth services.
What's Here
Community Health WorkersGeneral Crisis Intervention HotlinesClinical Psychiatric EvaluationTelemental HealthMedication Information/ManagementMental Health Expense AssistancePsychiatric Medication ServicesMarriage and Relationships CounselingSpouse/Intimate Partner Abuse CounselingIndividual CounselingConjoint CounselingFamily CounselingGroup CounselingMental Health ScreeningAnger ManagementAdolescent/Youth CounselingDialectical Behavior TherapyCommunity Mental Health AgenciesBereavement and Grief CounselingCase/Care ManagementHome Based Mental Health ServicesHealth Facility LicensingCentral Intake/Assessment for Substance Use DisordersGeneral Counseling Services
514 E. 3rd Street, White River, SD 57579
Community outpatient mental health facility. Provides mental health services to children, adolescents and adults. Services include but are not limited to psychiatric care and evaluations, children's services, group and individual counseling, play therapy, aggression management, and more.
What's Here
Anger ManagementIndividual CounselingGeneral Counseling ServicesClinical Psychiatric EvaluationHome Based Mental Health ServicesCommunity Mental Health AgenciesPlay TherapyTrauma Focused Cognitive Behavioral TherapyTelemental HealthParenting Skills ClassesMental Health Expense AssistanceAdult PsychiatryHealth Facility LicensingGeriatric PsychiatryCase/Care ManagementChild and Adolescent PsychiatryAdolescent/Youth Counseling
801 N. Sycamore Avenue, Loving School, Sioux Falls, SD 57110
A 24-hour residential and psychiatric treatment center serving emotionally disturbed and learning disabled children between the ages of 4-14. This program also provides special education services and intensive therapy for children and families who are experiencing difficulty at home, in school, or in the community. Services include day school and residential programs, evaluation services, family supportive services, consultation and training services.
Madsen House is designed to provide comprehensive psychiatric diagnosis and assessments, as well as short-term treatment for children ages 4-14 with emotional and behavioral problems.
Madsen House Intensive Unit is an eight-bed unit for children ages 4-14 who have severe or chronic emotional and behavioral disorders. Treatment includes psychiatric care, adaptive management, individual, group and family therapy and academic programming. Childcare teams consist of three counselors and one team coordinator, creating a ratio of one staff for every two children.
What's Here
2000 S. Summit Avenue, Sioux Falls, SD 57105
Intensive, non-residential treatment program providing services to children who meet the states' Severe Emotional Disturbance (SED) criteria and would not be successful in less restrictive services. Also provides services to their families. Incorporating counseling, case management, and family support services, with the goal of assisting in the development of a nurturing and stable family environment in which children may grow. A counselor along with family, individuals supporting the family, and professionals will develop a customized treatment plan which will assist in meeting the needs of the child and family.
Services provided to program participants include 24-hour crisis assistance, counseling services, chemical dependency screenings and assessments, case management, dedication management, psychiatric services, classes and workshops on mental health topics, early childhood mental health services, and play therapy for children ages 0 to 5. Some therapies offered in this program include Dialectical Behavioral Therapy (DBT), Moral Reconation Therapy (MRT), and Aggression Replacement Therapy (ART).
What's Here
Case/Care ManagementAdolescent/Youth CounselingWorkshops/SymposiumsDialectical Behavior TherapyClinical Psychiatric EvaluationPsychological AssessmentSubstance Use Disorder CounselingHome Based Mental Health ServicesMedication Information/ManagementSubstance Use Disorder Treatment Expense AssistanceGeneral Crisis Intervention HotlinesPsychiatric Medication ServicesFamily CounselingMental Health Expense AssistanceCommunity Mental Health Agencies
550 N. 5th Street, Rapid City, SD 57701
Provides evaluation, prevention, diagnosis, and treatment of mental, emotional and behavioral health issues. Outpatient psychotherapy services for individuals, couples and families for a wide variety of concerns ranging from mental health struggles to life transitions. Promotes whole health and improved quality of life.
What's Here
513 Main Street, Gregory, SD 57533
Community outpatient mental health facility. Provides mental health services to children, adolescents and adults. Services include but are not limited to psychiatric care and evaluations, children's services, group and individual counseling, play therapy, aggression management, and more.
What's Here
Anger ManagementIndividual CounselingGeneral Counseling ServicesClinical Psychiatric EvaluationHome Based Mental Health ServicesCommunity Mental Health AgenciesPlay TherapyTrauma Focused Cognitive Behavioral TherapyTelemental HealthParenting Skills ClassesMental Health Expense AssistanceAdult PsychiatryHealth Facility LicensingGeriatric PsychiatryCase/Care ManagementChild and Adolescent PsychiatryAdolescent/Youth Counseling
607 Indian Health Road, Pine Ridge, SD 57770
Provides the following services - Individual therapy, Marriage and couples therapy, Family and group therapy, Evaluations (psychological and psych-social), Patient education, Case management services, and Emergency Mental Health Services available 24 hours a day / 7 days a week.
Works in partnership with the Tribal Community to raise their physical, mental, social and spiritual health by providing timely caring services.
What's Here
Cultural Transition CounselingCultural Heritage GroupsGeneral Crisis Intervention HotlinesGeneral Counseling ServicesPsychological AssessmentIndividual CounselingGeneral Assessment for Substance Use DisordersCase/Care ManagementIndian Health Service ClinicsConjoint CounselingClinical Psychiatric EvaluationMental Health Expense AssistancePsychiatric Medication ServicesTrauma Focused Cognitive Behavioral TherapyGovernment Subsidized Prescription Drug BenefitsMental Health ScreeningFamily CounselingNative American CommunityAdolescent/Youth Counseling
