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Mandan Relapse Prevention

Before entering into a Mandan Alcohol Rehabilitation and Drug Treatment Facility, many individuals who have an addiction to drugs or alcohol find that they are unable to quit using on their own. Often times, they become discouraged by their inability to remain strong and resist cravings that they experience while trying to get clean. Alcohol Rehabilitation and Drug Treatment Programs in Mandan provide those who have a drug addiction the stability and professional relapse prevention skills they need to help them on their path to recovery.

What do you learn about relapse prevention while in Mandan Drug Treatment and Alcohol Rehab Facilities? Drug Treatment and Alcohol Rehab Facility Relapse Prevention Tips:

Exercise: It sounds simple, and it is. It is proven to work for people who are quitting smoking and smoking is one of the strongest addictions there are. Take a walk around the block or do some other simple exercise.

Socialize: With NEW people! Going back to the people you hung out with to do drugs is almost certainly going to lead you to a relapse. Go to some public events and meet some new people.

Change your environment: This can take on several different levels. You can start by rearranging your furniture and fixing the place up. You also need to change the environment where you spend a lot of time. Don't go back to the old places where the urge to do drugs may be too strong. Try going to some new places and doing new things. Go to a ballgame or to a museum or even a movie.

Minimize Boredom: Boredom is never a good thing. Chances are, if you get bored, it will increase the chances that you will get an urge for drugs. Take up doing crossword puzzles or other games, for example. Keeping yourself busy will help prevent drug addiction relapse.

Eat Better: No one expects you to change every aspect of your diet. It would be wise to throw in a few more fruits and vegetables. Maybe you could drink a couple more glasses of water a day. You may be amazed at how good it can make you feel.

Get Close to People: No need to go out on a hug-fest but let people in. Build strong and healthy relationships with people who are not drug addicts. Get a Mentor: They help you through the rough times and they understand what you are going through. They can be real lifesavers when the urges for drugs or alcohol become overwhelming.

Believe in yourself: Poor self-esteem may very well be what leads people into drug addiction in the first place. Have faith in yourself and don't put yourself down. You are on the right road and doing the right thing.

It is often a very difficult undertaking choosing a Drug Rehab and Alcohol Treatment Facility in Mandan for you or someone you love. You or your loved one is in crisis, and you must act quickly. Often, loved ones are not knowledgeable about Mandan Drug Rehab and Alcohol Treatment Programs, or how to find a reputable one that is ideally designed to help. When drug and/or alcohol addiction has become an integral aspect of your loved one's life, time is essential, and you must quickly educate yourself about Alcohol Rehab and Drug Rehabilitation Centers. The fastest way to do this is to read the information the Alcohol Rehab and Drug Rehabilitation Center provides, and then know what questions to ask when you contact these Drug Rehabilitation and Alcohol Rehabs.

Mandan Alcohol Rehabilitation and Drug Treatment Programs help through teaching relapse prevention skills and other valuable tools necessary for one to remain sober. Though there are a wide variety of options to choose from regarding Drug Treatment and Alcohol Rehab Facilities, it is important to find the drug treatment method that is right for you or your loved one. The help an individual receives for their dependence problems could take place in a variety of settings utilizing numerous approaches. There are many different types of Drug Rehab and Alcohol Treatment Programs available such as outpatient treatment, inpatient treatment, and residential treatment. Each type of drug treatment setting mentioned is commonly associated with a particular approach to drug addiction recovery. It is important that the individual who is looking for help feel comfortable and understand the values the Drug Rehabilitation and Alcohol Rehab Program they choose are run by.

Alcohol Rehab and Drug Rehabilitation Centers that incorporate relapse prevention as part of their drug rehabilitation often times are backed by a solid recovery program. Relapse prevention is critical for the addict to remain clean once they have left the Mandan Alcohol Rehabilitation and Drug Treatment Facility. Recovery is an ongoing process. The skills one learns during an intensive stay at a Drug Treatment and Alcohol Rehab Facility in Mandan must be integrated into everyday life and this takes time. Though there are a variety of different types of Drug Rehabilitation and Alcohol Rehabs available, all include strategies for keeping the person in treatment, skills to help the individual handle everyday situations that may cause trouble once they have completed the drug or alcohol rehab and guidance and counseling towards understanding the individual's initial reasons for drug addiction.

Generally, the more Mandan drug treatment an individual receives the better the outcome. Those who stay in a Drug Rehab and Alcohol Treatment Facility longer than three months often have better outcomes than those who stay less time. Over the last 25 years, studies have shown that Alcohol Rehabilitation and Drug Treatment Programs work to reduce an individual's drug use, relapse rate as well as crimes committed by drug addicted individuals.

Local and nearby Listings For Mandan, North Dakota

West Central Human Service Center

West Central Human Service Center is an Alcohol Treatment and Drug Rehab Program that is located at 1237 West Divide Avenue Bismarck, ND 58501. You can contact West Central Human Service Center by calling 701-328-8888.


Types of Services
Drug Rehab Alcohol Rehab, Detoxification, Outpatient, Residential Long Term Treatment, Teens, Co Occuring Mental and Substance Abuse Disorders, Women, Men, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

United Tribes Technical College

United Tribes Technical College is an Alcohol Rehabilitation and Drug Treatment Facility that is located at 3315 University Drive Bismarck, ND 58504. You can contact United Tribes Technical College by calling 701-255-3285.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Residential Short Term Treatment, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, DUI and DWI Offenders, Criminal Justice Clients
Payment Structure
Payment Forms

Sanford Medical Center Bismarck

Sanford Medical Center Bismarck is a Drug Rehab and Alcohol Rehabilitation Program that is located at 300 North 7th Street Bismarck, ND 58501. You can contact Sanford Medical Center Bismarck by calling 701-323-6796.


Types of Services
Mental Health Services, Outpatient, Hospital Inpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

CHI St. Alexius Medical

CHI St. Alexius Medical is a Drug Treatment and Alcohol Rehab Program that is located at 311 North 11th Street Bismarck, ND 58501. You can contact CHI St. Alexius Medical by calling 701-530-7255.


Types of Services
Drug Rehab Alcohol Rehab, General Health Services, Detoxification, Outpatient, Co Occuring Mental and Substance Abuse Disorders
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Three Rivers MH CD Center

Three Rivers MH CD Center is an Alcohol Treatment and Drug Rehab Program that is located at 11 4th Street East Lemmon, SD 57638. You can contact Three Rivers MH CD Center by calling 605-374-3862.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders
Payment Structure
Sliding Scale Fees
Payment Forms
Medicaid, Military Insurance, Private Health Insurance, Self Payment

Badlands Human Service Center

Badlands Human Service Center is a Drug Rehab and Alcohol Treatment Center that is located at 300 13th Avenue West Dickinson, ND 58601. You can contact Badlands Human Service Center by calling 701-227-7500.


Types of Services
Drug Rehab Alcohol Rehab, Detoxification, Halfway Housing, Outpatient, Co Occuring Mental and Substance Abuse Disorders, Criminal Justice Clients, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

North Central Human Service Center

North Central Human Service Center is a Drug Treatment and Alcohol Rehabilitation Facility that is located at 1015 South Broadway Minot, ND 58701. You can contact North Central Human Service Center by calling 701-857-8500.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

North Dakota State Hospital

North Dakota State Hospital is a Drug Treatment and Alcohol Rehabilitation Program that is located at 2605 Circle Drive Jamestown, ND 58401. You can contact North Dakota State Hospital by calling 701-253-3650.


Types of Services
Mental Health Services, Hospital Inpatient, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Criminal Justice Clients, Assistance for Hearing Impaired, Spanish, Foreign Languages other than Spanish
Payment Structure
Payment Assistance
Payment Forms
Medicare, Military Insurance, Private Health Insurance, Self Payment

Lake Region Human Service Center

Lake Region Human Service Center is a Drug Rehab and Alcohol Treatment Program that is located at 200 Highway 2 West Devils Lake, ND 58301. You can contact Lake Region Human Service Center by calling 701-665-2200.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Home on the Range

Home on the Range is an Alcohol Treatment and Drug Rehab Program that is located at 16351 Interstate 94 Sentinel Butte, ND 58654. You can contact Home on the Range by calling 701-872-3745.


Types of Services
Mental Health Services, Co Occuring Mental and Substance Abuse Disorders, Gay and Lesbian
Payment Structure
Payment Forms
Medicare, Private Health Insurance

CRST Behavioral Health Department

CRST Behavioral Health Department is a Drug Rehabilitation and Alcohol Rehab Program that is located at 24276 166th Street Eagle Butte, SD 57625. You can contact CRST Behavioral Health Department by calling 605-964-0722.


Types of Services
Drug Rehab Alcohol Rehab, General Health Services, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, DUI and DWI Offenders, American Indian and Alaska Native Languages
Payment Structure
Payment Assistance
Payment Forms

Lake Region Outreach Office

Lake Region Outreach Office is a Drug Rehabilitation and Alcohol Treatment Program that is located at 1102 Main Avenue West Rolla, ND 58367. You can contact Lake Region Outreach Office by calling 701-477-9050.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Northwest Human Service Center

Northwest Human Service Center is an Alcohol Rehab and Drug Rehabilitation Facility that is located at 316 2nd Avenue West Williston, ND 58802. You can contact Northwest Human Service Center by calling 701-774-4600.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Summit Counseling Services

Summit Counseling Services is a Drug Rehabilitation and Alcohol Rehab Facility that is located at 1500 14th Street SW Williston, ND 58801. You can contact Summit Counseling Services by calling 701-334-6242.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Residential Short Term Treatment, Co Occuring Mental and Substance Abuse Disorders, Seniors, Pregnant and Postpartum Women, Women, Men, DUI and DWI Offenders, Criminal Justice Clients
Payment Structure
Payment Forms

Native American Resource Center

Native American Resource Center is a Drug Treatment and Alcohol Rehabilitation Program that is located at 331 4th Avenue East Trenton, ND 58853. You can contact Native American Resource Center by calling 701-774-0461.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, Criminal Justice Clients
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Capital Area Counseling Services

Capital Area Counseling Services is a Drug Treatment and Alcohol Rehabilitation Program that is located at 115 South Huron Street Pierre, SD 57501. You can contact Capital Area Counseling Services by calling 605-224-5811.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Capital Area Counseling Services Inc

Capital Area Counseling Services Inc is an Alcohol Treatment and Drug Rehab Center that is located at 803 East Dakota Avenue Pierre, SD 57501. You can contact Capital Area Counseling Services Inc by calling 605-224-5811.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, DUI and DWI Offenders, Criminal Justice Clients, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Community Counseling Services

Community Counseling Services is an Alcohol Rehab and Drug Treatment Facility that is located at 300 West 5th Street Miller, SD 57362. You can contact Community Counseling Services by calling 605-853-2421.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees
Payment Forms
Medicaid, Military Insurance, Private Health Insurance, Self Payment

New Dawn Enterprises

New Dawn Enterprises is an Alcohol Rehabilitation and Drug Treatment Center that is located at 19271 Highway 79 Vale, SD 57788. You can contact New Dawn Enterprises by calling 605-456-2968.


Types of Services
Drug Rehab Alcohol Rehab, Halfway Housing, Residential Long Term Treatment, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Men, Criminal Justice Clients, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Self Payment

First Step Recovery

First Step Recovery is a Drug Rehab and Alcohol Treatment Center that is located at 3201 Fiechtner Drive Fargo, ND 58103. You can contact First Step Recovery by calling 701-293-3384.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Residential Short Term Treatment, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, Criminal Justice Clients
Payment Structure
Payment Forms

ADAPT Inc

ADAPT Inc is an Alcohol Rehabilitation and Drug Treatment Center that is located at 1330 Page Drive Fargo, ND 58103. You can contact ADAPT Inc by calling 701-232-1080.


Types of Services
Drug Rehab Alcohol Rehab, Residential Short Term Treatment, Co Occuring Mental and Substance Abuse Disorders, Seniors, Women, Men, DUI and DWI Offenders
Payment Structure
Payment Forms

Southeast Human Service Center

Southeast Human Service Center is a Drug Rehab and Alcohol Rehabilitation Center that is located at 2624 9th Avenue South Fargo, ND 58103. You can contact Southeast Human Service Center by calling 701-298-4500.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders
Payment Structure
Sliding Scale Fees, Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Prairie St. Johns

Prairie St. Johns is a Drug Treatment and Alcohol Rehab Facility that is located at 510 4th Street South Fargo, ND 58103. You can contact Prairie St. Johns by calling 701-476-7200.


Types of Services
Mental Health Services, Outpatient, Hospital Inpatient, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Prairie St. Johns LLC

Prairie St. Johns LLC is an Alcohol Rehabilitation and Drug Treatment Program that is located at 510 4th Street South Fargo, ND 58103. You can contact Prairie St. Johns LLC by calling 701-476-7200.


Types of Services
Drug Rehab Alcohol Rehab, Detoxification, Outpatient, Residential Short Term Treatment, Residential Long Term Treatment, Hospital Inpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, Seniors, Criminal Justice Clients, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Solutions Behavioral Healthcare

Solutions Behavioral Healthcare is an Alcohol Rehab and Drug Treatment Program that is located at 891 Belsly Boulevard Moorhead, MN 56560. You can contact Solutions Behavioral Healthcare by calling 218-287-4338.


Types of Services
Mental Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Criminal Justice Clients
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Agassiz Associates PLLC

Agassiz Associates PLLC is an Alcohol Treatment and Drug Rehabilitation Facility that is located at 2424 32nd Avenue Grand Forks, ND 58201. You can contact Agassiz Associates PLLC by calling 701-746-6336.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, Gay and Lesbian, Women, Men
Payment Structure
Payment Forms
Private Health Insurance, Self Payment

Action for the Betterment of

Action for the Betterment of is an Alcohol Treatment and Drug Rehab Program that is located at 1807 Williams Street Sturgis, SD 57785. You can contact Action for the Betterment of by calling 605-347-2991.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, Criminal Justice Clients
Payment Structure
Sliding Scale Fees
Payment Forms
Medicaid, Private Health Insurance, Self Payment

City County Alcohol and Drug Programs

City County Alcohol and Drug Programs is a Drug Treatment and Alcohol Rehab Center that is located at 725 North Lacrosse Street Rapid City, SD 57701. You can contact City County Alcohol and Drug Programs by calling 605-394-6128.


Types of Services
Drug Rehab Alcohol Rehab, Detoxification, Halfway Housing, Outpatient, Residential Long Term Treatment, Co Occuring Mental and Substance Abuse Disorders, DUI and DWI Offenders, Criminal Justice Clients, Assistance for Hearing Impaired
Payment Structure
Sliding Scale Fees
Payment Forms
Private Health Insurance, Self Payment

Youth and Family Services Inc

Youth and Family Services Inc is an Alcohol Rehabilitation and Drug Treatment Center that is located at 202 East Adams Street Rapid City, SD 57709. You can contact Youth and Family Services Inc by calling 605-342-4789.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, DUI and DWI Offenders, Criminal Justice Clients
Payment Structure
Sliding Scale Fees
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment

Our Home Inc

Our Home Inc is a Drug Rehabilitation and Alcohol Rehab Center that is located at 40354 210th Street Huron, SD 57350. You can contact Our Home Inc by calling 605-353-1025.


Types of Services
Drug Rehab Alcohol Rehab, Hospital Inpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Pregnant and Postpartum Women, Criminal Justice Clients
Payment Structure
Payment Forms
Medicaid, Military Insurance, Private Health Insurance, Self Payment

Northwestern Mental Health Center Inc

Northwestern Mental Health Center Inc is a Drug Rehab and Alcohol Treatment Center that is located at 603 Bruce Street Crookston, MN 56716. You can contact Northwestern Mental Health Center Inc by calling 218-281-3940.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, Criminal Justice Clients
Payment Structure
Sliding Scale Fees
Payment Forms
Military Insurance, Private Health Insurance, Self Payment

Catholic Social Services

Catholic Social Services is a Drug Treatment and Alcohol Rehab Facility that is located at 529 Kansas City Street Rapid City, SD 57701. You can contact Catholic Social Services by calling 605-348-6086.


Types of Services
Drug Rehab Alcohol Rehab, Residential Short Term Treatment, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, DUI and DWI Offenders, Criminal Justice Clients
Payment Structure
Payment Forms

Northwestern Mental Health Center

Northwestern Mental Health Center is a Drug Rehab and Alcohol Treatment Center that is located at 100 Gretchen Lane Crookston, MN 56716. You can contact Northwestern Mental Health Center by calling 218-281-5256.


Types of Services
Mental Health Services, Drug and Alcohol Abuse Day Treatment, Co Occuring Mental and Substance Abuse Disorders, Assistance for Hearing Impaired
Payment Structure
Payment Forms
Medicaid, Medicare

Oglala Sioux Tribe

Oglala Sioux Tribe is a Drug Rehab and Alcohol Rehabilitation Program that is located at 3200 Canyon Lake Drive Rapid City, SD 57702. You can contact Oglala Sioux Tribe by calling 605-342-8925.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Teens, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Women, Men, DUI and DWI Offenders, Criminal Justice Clients, Assistance for Hearing Impaired, American Indian and Alaska Native Languages, Foreign Languages other than Spanish
Payment Structure
Payment Assistance
Payment Forms

Rapid City CBOC

Rapid City CBOC is an Alcohol Rehabilitation and Drug Rehab Facility that is located at 3625 5th Street Rapid City, SD 57701. You can contact Rapid City CBOC by calling 605-718-1095 x3055.


Types of Services
Drug Rehab Alcohol Rehab, General Health Services, Outpatient, Co Occuring Mental and Substance Abuse Disorders
Payment Structure
Payment Forms
Medicare, Military Insurance, Private Health Insurance, Self Payment

Rapid City Service Unit

Rapid City Service Unit is an Alcohol Rehabilitation and Drug Treatment Program that is located at 3200 Canyon Lake Drive Rapid City, SD 57702. You can contact Rapid City Service Unit by calling 605-355-2500.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Co Occuring Mental and Substance Abuse Disorders, HIV and AIDS, Gay and Lesbian, Seniors, Pregnant and Postpartum Women, Women, Men, Criminal Justice Clients
Payment Structure
Payment Assistance
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance

Mark Bontreger Inc

Mark Bontreger Inc is an Alcohol Rehab and Drug Rehabilitation Program that is located at 525 5th Street SE Watertown, SD 57201. You can contact Mark Bontreger Inc by calling 605-882-0800.


Types of Services
Drug Rehab Alcohol Rehab, Outpatient, Co Occuring Mental and Substance Abuse Disorders, DUI and DWI Offenders
Payment Structure
Payment Forms
Medicaid, Medicare, Military Insurance, Private Health Insurance, Self Payment