service Children's Inpatient Psychiatric Ages 5-17 Services

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1 The s Listed below are part of the total provider network for the Northern Affiliation. It is provided to you in compliance with federal regulation. As a Medicaid enrollee, you have a choice of appropriate providers for services you need. Should you wish to use a different provider, please inform your worker. For more information, please refer to page 15 of your Member Handbook. Location Services Capacity Telephone Northern Affiliation-Access Center Screenings, referrals, continuing stays / Plaza Drive Independent Facilitators Assist with Person Center Plan State of Michigan Facilities Services Capacity Telephone Caro Regional Center / Interpreter Chambers Rd. Caro, MI Hawthorne Center Haggerty Road Northville, MI Kalamazoo Regional Psychiatric Hospital 1312 Oakland Ave. Kalamazoo, MI Community Services Children's Ages 5-17 Services service,, Capacity Telephone Alpena Regional Medical Center 1501 Chisholm Street, Spanish, Portuguese, Interpreter Services Forest View Hospital, Day Hospital, Specialty / Interpreter Medical Park Drive in Eating disorder, trauma & Co-occurring service Grand Rapids, MI Havenwyck Hospital disorders, Multiple University Bilingual Staff Auburn Hills Health Source Saginaw, Inc, / Hospital Road Saginaw, MI Marquette General Hospital, have other ext W. Magnetic Street language resources Marquette, MI McLaren Bay Regional Medical Center available / Columbus Bay City, MI Michigan Psychiatric and Behavioral Associate 690 S. Trumbull Bay City, MI Mid-Michigan Medical Center - Gratiot Psychiatric Services / / E. Warwick Dr Alma, MI Mid-Michigan Medical Center - Midland 4005 Orchard Drive Midland, MI / Page 1 Revised: 10/23/2013

2 Pine Rest Christian Mental Health Services &, Partial Hospitalization,, Voices for ages St. Mary s Health Care Residential MI DD SA Detox, ECT ADD Health Services th Street inst. Full testing center Translated brochures Grand Rapids, MI War Memorial Hospital 500 Osborn Boulevard Sault Ste Marie, MI (Unit in Kinross) CMHSPs Services / Capacity Telephone AuSable Valley CMH Full Service Array Administrative Offices TDD W. Harris Ave. / P.O. Box 310 Tawas City, MI Northeast Michigan CMH Full Service Array Administrative Offices Johnson St. TDD or North Country CMH Full Service Array Administrative Offices TDD/TTY Plaza Drive Substance Abuse Coordinating Agency Services Capacity Telephone Northern Michigan Substance Abuse Services Referrals & Assessment & N/A-not a Access Center 2090 West M-32 Suite C provider Gaylord, MI Substance Abuse s Services Capacity Telephone Addiction Treatment Services Short Term Residential & East Eighth Street & Detox Traverse City, MI S. Ripley Blvd State Street P.O. Box 374 Atlanta, MI US 31 North Charlevoix, MI N. Main, Suite 202 Cheboygan, MI & E. US 23, Ste A East Tawas, MI West M-32 Suite B Gaylord, MI Prevention & & & County Courthouse 106 Fifth Street, Harrisville, MI Prevention & Prevention & & & & & Page 2 Revised: 10/23/2013

3 0438 County Road 612 NW Kalkaska, MI Grove St. Mancelona, MI & & & W. Eighth Street Mio, MI Oak St. Onaway, MI S. Bradley Hwy Parkwood Plaza #1 Roger City, MI Prevention & & & & E. Houghton Avenue West Branch, MI DOT Caring Centers, Inc Midland Road Freeland, MI East Side Substance Abuse Clinic Short & Long Term Residential & Detox Methadone & & East Sherman Blvd. Muskegon Heights, MI East Side Substance Abuse Clinic Methadone & Eastern SE Grand Rapids, MI Great Lakes Recovery Centers Men Long Term Residential & E. Spruce Street Sault St. Marie, MI Great Lakes Recovery Centers Men Long Term Residential & Wright Street Marquette, MI Great Lakes Recovery Centers Men/Women/Adolescent & Ashmun Street Long Term Residential & Sault St. Marie Great Lakes Recovery Centers Women Long Term & Rublein Street Residential & Detox Marquette, MI Harbor Hall 704 Emmet Street Harbor Hall Men Long Term Residential & Detox & & E. Mitchell, Unit 5 Petoskey, Harbor Hall MI N. Main St. Suite 106 Cheboygan, MI & Page 3 Revised: 10/23/2013

4 Health Department of Northwest Michigan Prevention & W. Garfield Charlevoix, MI Health Department of Northwest Michigan Prevention & Harbor-Petoskey Road, Suite A Harbor Springs, MI Michigan Therapeutic Consultants Methadone & Corporate Way, P.O. Box 730 Mt. Pleasant, MI Sunrise Centre Residential Treatment, & Walnut Street Detox & Ten Sixteen Recovery Network Detox & Haelth Parkway, Suite 2 Mt. Pleasant, MI Turning Point Counseling & N. Skeel Ave, Suite 7 Oscoda, MI Wedgwood Christian Services Adolescent Residential & th Street SE Grand Rapids, MI Wolverine Human Services Adolescent Residential- Boys & Enterprise Drive Vassar, MI Wolverine Human Services Adolescent Residential -Girls & 955 Commerce Drive Vassar, MI Contracts with North Country CMH Services Capacity Telephone Abby D. Center, Inc., The 2206 Mitchell Park, #14 Alternative Service, Inc West 7-Mile Road, Suite 10 Livonia, MI Baseline Clinical Services, Inc. Adult Foster Care ext nd Street Pawpaw, MI Beacon Center 103 S. Huron Street Cheboygan, MI Beacon Specialized Living Services Drop-in Center Railroad, P.O. Box 248 Bangor, MI Bedford Specialized Care, Inc. Adult Foster Care & W. Michigan Ave, Suite 301 Semi-Independent Battle Creek, MI Bergman Center, Inc Martin Road, P.O. Box 236 Charlevoix, MI Speech Pathologist, Occupational and Physical therapy Adult Foster Care, Semi-Independent, Supported Employment Adult Foster Care, Case management, Semi Independent Day Program & Semi-Independent Living & ; some staff who speak other languages ext. 18 Page 4 Revised: 10/23/2013

5 1000 Hastings Street Traverse City, MI Child and Family Services - NW MI Senior Companion Program Children s Foster Care/Respite ext Veterans Drive Traverse City, MI Cornerstone Care Services Adult Foster Care Veterans Drive Kingsley, MI Cornerstone II, Inc. Adult Foster Care P.O. Box 277 Bloomingdale, MI Crisis Center, Inc. d.b.a. Listening Ear 107 East Illinois St. Mt. Pleasant, MI Crossroads Ind Silver Fox Trail Gaylord, MI Grand Traverse Area Community Management Semi-Independent ext Barlow Steet Adult Foster Care/Respite Traverse City, MI Grand Traverse Industries 2883 Aero Drive Traverse City, MI Grand Traverse Industries 408 North Danfort Mancelona, MI Hope Network Behavioral Health Services Adult Foster Care Orchard Vista, P.O. Box 890 Grand Rapids, MI Hope Network Development & Community Ser. Adult Foster Care Orchard Vista, P.O. Box 141 Grand Rapids, MI Hopkins AFC Homes, Inc. Adult Foster Care East Illinois, P.O. Box 728 Semi-Independent Evart, MI LTSS, Inc. Adult Foster Care ext Division Street Semi-Independent Cadillac, MI MDLRA-Michigan Rehabilitation Services PO Box 1306; 1165 Elkview Ste 4 Gaylord, MI Montgomery Management Services, Inc Vacationland Drive Gaylord, MI Adult foster Care & Semi Independent Living, Day Program & Supported Employment Day Program & Supported Employment Day Program & Sign Lanuage Interpreter Day Program, Supported Employment & Sign Lanuage Interpreter Supported Employment Services Adult foster Care & Semi Independent Living Northern Light, Inc. Semi Independent Living open PO Box 185 Rapid City, mi & Sign & Sign Page 5 Revised: 10/23/2013

6 Northern Family Intervention Services, Inc.(NFIS) 407 W. Main St. P.O. Box 398 Gaylord, MI Home Based Services Intervention, translator services Northern Management Services, LTD 655 Chestnut Gaylord, MI Adult foster Care & Semi Independent Living ext. 3 Pine Rest Christian MHS Child Caring Institution PO Box 165, th Street, SE Grand Rapids, MI Straits Area Services, Inc W. State Street, P.O. Box 87 Cheboygan, MI Summertree Residential Center, Inc. 210 N. Lake Street Boyne City, MI Visions for Your Community Home Care Semi Independent Living PO Box 1171 Gaylord, MI Teaching Family Homes of Upper Michigan 1000 Silver Creek Road Marquette, MI Contracts with Northeast Michigan CMH Child Caring Institution Services Capacity Telephone Birchwood AFC 3624 Birchwood Drive Roger City, MI Blue Horizons Home 208 N. Eighth St. Chism AFC 8600 Briar Hill Herron, MI Dault's Care Home Community Living Support & Grand Lake Road Personal Care Presque Isle, MI Do All Inc S. Lincoln Ave, P.O. Box 858 Bay City, MI Donajkowski AFC 6877 Turtle Street Posen, MI Day Program, Semi Independent Living Adult foster Care & Semi Independent Living Supported Employment Services Evergreen AFC W. Haythaler Hwy. Roger City, MI Gallaghers AFC Support Services & W. Long Lake Road Community Living Support Hope Behavioral Network Community Living Support & Grand River Personal Care Lowell, MI Page 6 Revised: 10/23/2013

7 Hope Network New Passages Grand River Lowell, MI Crisis Residential Huff Back Achers Community Living Support & Winslow Drive Personal Care Saranac, MI Jayne's Adult Foster Care Community Living Support & Rose Personal Care Big Rapids, MI Lighthouse Traverse City (Beacon of the North) 4160 Beacon Street Kingsley, MI Linda's AFC W. Long Lake Road Alpena, NEMROC MI Supported Employment Patti's Foster Care Pleasant Valley Road Hillman, MI Paula's Care Home W. Long Lake Road Posen AFC Home 5486 Co. Road 634 Posen, MI Premier Care Assisted Living th Street Bay City, MI Riverbend Rehabilitation, Inc Katalin Court Bay City, MI Secluded Pines AFC 2700 Condensery Road Sheridan, MI 4884 Community Living Support & Peronal Care Srebniks Family Home Community Living Support & Wildwood Land Personal Care Roger City, MI Waffle AFC Community Living Support Old State Road Personal Care Central Lake, MI Wiacek AFC Community Living Support & Hagensville Road Personal Care Posen, MI Windy Hill AFC Community Living Support & DeWyre Road Personal Care Hawks, MI Page 7 Revised: 10/23/2013

8 Contracts with AuSable Valley CMH Services Capacity Telephone 154 S. Ripley Blvd Center for Positive Living Support Mile Rd. Clinton Township, MI Child & Family Services of Northeast Michigan 1051 Halley Road Lakeshore Rehab & Consult Services (Lane, Dave) 1635 Douglas Drive Tawas City, MI Leelin Home Health Family Services Onsite Evaluations & Assessments Family Services DD & MI Services & Support Residential Services E. Main St., P.O. Box 188 Rose City, MI Pine Rest Christian Mental Health Services P.O. Box 165 Grand Rapids, MI Residential Premier Care Assisted Living Specialized Residential th St. Bay City, MI Turning Leaf Behavioral Health Services 621 East Jolly Road Lansing, MI Specialized Residential Page 8 Revised: 10/23/2013