ccc.cchealth.org · Welcome to the Drug Medi‐Cal Organized Delivery System (DMC‐ODS) Plan! If you are a Medi-Cal Contra Costa resident and if you or your family member needs treatment

Drug Medi-Cal Organized Delivery System [DMC-ODS] Sistema Organizado de Entrega de Medicamentos de Medi-Cal

PROVIDER DIRECTORY Directorio de Proveedores de Servicios

November 2020

Noviembre 2020

httpscchealthorgaod

INTRODUCTION Welcome to the Drug Medi‐Cal Organized Delivery System (DMC‐ODS) Plan If you are a Medi-Cal Contra Costa resident and if you or your family member needs treatment for alcohol and other drugs please contact the Behavioral Health Access Line at 1-888-678-7277 or (800) 846-1652 (toll free) or if you are hearingspeech impaired call the California Relay Service (CRS) at 711 (TTYTDD) The following is a comprehensive list of Providers for the Contra Costa Drug Medi-Cal Organized Delivery System (DMC-ODS) The Access Line counselors will conduct a screening and referral to a DMC-ODS Plan provider who will then conduct an assessment to determine medical necessity based on the American Society of Addiction Medicine (ASAM) Criteria For urgent conditions Withdrawal Management (detox) or Medication Assisted Treatment (MAT) such as Methadone or Buprenorphine you may contact the program directly for immediate support Unless indicated in the respective section all Providers are accepting new beneficiaries Note that all providers can accommodate persons with physical disabilities and serve Contra Costa Medi-Cal beneficiaries even if the site is not yet DMC Certified Interpreter services are available through the Access Line

INTRODUCCION Bievenidos al Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Si uacutested oacute un ser querido necesita servicios de tratamiento para el alcohol y las drogas por favor llame a la Liacutenea de Acceso al 1-888-678-7277 oacute al (800) 846-1652 (gratis) Si uacutested tiene un impedimento del hablaoiacutedo llame al servicio California Relay Service (CRS) al 711 (TTYTDD) A continuacioacuten uacutested encontraraacute la lista detallada de proveedores de servicios del Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Los consejeros de la Liacutenea de Acceso le haraacuten una entrevista y luego le transferiraacuten a un proveedor quieacuten le haraacute una evaluacioacuten para determinar la necesidad meacutedica basada en los criterios de la Sociedad Americana de Medicina contra la Adiccioacuten oacute ASAM por sus siglas en Ingleacutes Para citas urgeacutentes como de manejo de abstinencia medicamentos para la addiccioacuten o metadoacutena uacutested puede contactar al programa directamente para acceso raacutepido A menos que se indiacuteque todos los provedores estaacuten aceptando beneficiaries nuevos Es importante destacar que todos los proveedores pueden adaptar los servicios a personas con descapacidades fiacutesicas y proveeacuter servicios auacuten y cuacuteando la certificacioacuten de Medi-Cal estaacute pendiente Los Servicios de interpretacioacuten estaacuten disponibles a traveacutes de todos los proveedores de la organizacioacuten y la Liacutenea de Acceso

Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Planrsquos Provider Directory Los servicios pueden ser proveiacutedos por un solo profesional oacute un equipo de profesionales que trabaja bajo la direccioacuten de uacuten profesional licenciado que opera dentro de su marco profesional Solo los profesionales de salud mental licenciados exceptuados o registrados y los proveedores licenciados de servicios de transtornos por uso de sustancias aparecen en el Directorio de los Proveedores del Plan

How can I obtain a free printed version of the DMC-ODS Provider Directory

If you require this document in an alternate format (example Braille Large Print Audiotape CD-ROM) you may request an alternate format at no cost to the beneficiary by calling the Behavioral Health Access Line at 1-888-678-7277 or (800) 846-1652 (toll free) Hearing andor speech impaired members can call the California Relay Service by dialing 711

Como puedo obtener una copia del Directorio de los Proveedores del Plan

Si uacutested necesita eacuteste documento en un formato alternative (por ejemplo Braille letras grandes audiocinta CD-ROM) puacuteede solicitarlo llamaacutendo a la Liacutenea de Acceso al 1-888-678-7277 oacute al (800) 846-1652 (gratis)Los miembros con impedimentos del oiacutedo oacute del habla puacuteeden llamar al servicio de California Relay marcando el 711

LANGUAGE ASSISTANCEASISTENCIA EN OTROS IDIOMAS

English ATTENTION If you speak another language language assistance services free of charge are available to you Call (888) 678-7277 (TTY 711)

ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call (888) 678-7277 (TTY 711)

Espantildeol (Spanish) ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al (888) 678-7277 (TTY 711)

Tiếng Việt (Vietnamese) CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số (888) 678- 7277 (TTY 711)

Tagalog (TagalogFilipino) PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa (888) 678-7277 (TTY 711)

한국어 (Korean) 주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다

(888) 678-7277 (TTY 711) 번으로 전화해 주십시오

繁體中文(Chinese) 注意如果您使用繁體中文您可以免費獲得語言援助服務請致電(888) 678-7277 (TTY 711)

Հայերեն (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք (888) 678-7277 (TTY (հեռատիպ)711)

Русский (Russian) ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните (888) 678-7277 (телетайп711)

(Farsi) فارسی توجھ اگر ھب زبان فارسی گفتگو یم کنید تسھیالت زبانی بصورت رایگان برای امش

فراھم یم باشد 678-7277 (888)(TTY 711) تماس بگیرید

日本語 (Japanese) 注意事項日本語を話される場合無料の言語支援をご利用いただけます(888) 678-7277 (TTY 711) まで

お電話にてご連絡ください

Hmoob (Hmong) LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau (888) 678- 7277 (TTY711)

ਪ ਜਾਬੀ (Punjabi) ਿਧਆਨ ਿਦਓ ਜ ਤਸ ਪ ਜਾਬੀ ਬਲਦ ਹ ਤ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ (888) 678-7277 (TTY 711) ਤ ਕਾਲ ਕਰ

(Arabic) العربیةTTY ملحوظة إذا تنك تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر كل بالمجان اتصل مقرب 678-7277 )888( (رقم ھاتف الصم والبكم

(711 हद (Hindi) धयान द यद आप हद बोलत ह तो आपक लए मफत म भाषा सहायता सवाए उपलबध ह (888) 678-7277 (TTY 711) पर कॉल कर

ภาษาไทย (Thai) เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร (888) 678-7277 (TTY 711)

ែខរ (Cambodian) របយត ររ េសេើ នអ កនយ ែខ រសជន យមននក េយមនគត ន គចនស ររ អេេើ នក ច ទ សព (888) 678-7277 (TTY 711)

ພາສາລາວ (Lao) ໂປດຊາບ ຖ າວ າ ທ ານເວ າພາສາ ລາວ ການບລການຊ ວຍເຫອດ ານພາສາ ໂດຍບເສ ຽຄ າ ແມ ນມພ ອມໃຫ ທ ານ ໂທຣ (888) 678-7277 (TTY 711)

ACRONYMS SIGLAS USADAS EN ESTE DIRECTORIO DMC-ODS Drug Medi-Cal Organized Delivery System ndash Sistema Organizado de Entrega de Medicamentos de Medi-Cal ASAM American Society of Addiction Medicine ndash La Sociedad Norteamericana de Adiccioacuten DHCS Department of Health Care Services ndash Departamento de Servicios de Salud del Estado de California ACA Affordable Care Act ndash Ley de Atencioacuten Asequible HIV AIDS Human Immunodeficiency Auto Immune Deficiency Syndrome ndash VIHSIDA Siacutendrome de Inmuno Deficiencia LGBTQ Lesbian-Gay-Bisexual- Transgender-Queer ndashLesbiana Gay Bisexual Transgeacutenero Queer LMFT Licensed Marriage and Family Therapist ndash Terapia Familiar y de Pareja LCSW Licensed Clinical Social Worker ndash Trabajador Social Cliacutenico Licenciado LPHA Licensed Practitioner of the Healing Arts ndash Practicaacutente Licenciado en Artes Curativas LCP Licensed Clinical Practitioner ndash Practicaacutente Cliacutenico Licenciado LPCC Licensed Practitioner Clinical Counselor ndash Practicaacutente Licenciado Consejero Cliacutenico FQHC Federally Qualified Health Care Center ndash Centro de Salud Calificado Medi-Cal ADA Americans Disabilities Act ndash Ley de Proteccioacuten a las Discapacidades MAT Medication Assisted Treatment ndash Tratamiento Asistido con Medicamentos

ASAM Level 1 Outpatient

Nivel 1 Cuidado Ambulatorio

Contra Costa County DMC-ODS ASAM Level 10 Outpatient Treatment ProvidersTratamiento Ambulatorio November 2020 Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Noviembre 2020

of 13 Paacutegina 1 of 13

Provider Name Nombre del Proveedor Bi-BETT A Chance for Freedom Central Address Direccioacuten 560 Lennon Lane Walnut Creek CA 94598 Phone Teleacutefono (925) 685-7418

Hours of Operation Horas de Servicio Monday Thursday Lun Juev 830-730PM Tues Wed Fri Mar Mier Vier 830AM- 430PM Email Address Correo Electroacutenico bbacctbibettorg

Cultural Competence Training Capacitacioacuten en Competencia Cultural YesSiacute

Cultural Capacity Especialidad Cultural Veterans Older Adults Transitions Age Youth Gay Bisexual Transgender Queer Veteranos Adultos Mayores Joacutevenes LGBTQ

Population Served Poblacioacuten servida Adults 18+ Co-Ed Services Adultos 18+ Hombres y Mujeres

DMC Certified Programa Certificado por Medi-Cal YesSi

Accepting New Beneficiaries Acepta Nuevos Pacientes YesSi

Languages Idiomas Language Line AvailableLinea de asistencia linguumliacutestica

Web Site Sitio de Internet httpsbibettorg

Capacity Capacidad Liacutemite 28

ADA Compliant Cumple con la Ley de Discapacidades Yes Siacute

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Frank Lawatsch

NPI Nuacutemero de Identificacioacuten del Proveedor 1487737144 1245493295

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LCP

License Number Nuacutemero de Licencia G36471 28859

Provider Name Nombre del Proveedor Bright Heart Health Address Direccioacuten 2960 Camino Diablo 105 Walnut Creek CA 94597 Phone Teleacutefono (800) 892-2695

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico jciampibrighthearthealthcom

Cultural Competence Training Capacitacioacuten en Competencia Cultural Yes Siacute

DMC Certified Programa Certificado por Medi-Cal Yes Siacute

Languages Idiomas Language Line Available Linea de asistencia linguumliacutestica

Web Site Sitio de Internet httpswwwbrighthearthealthcom

Medical Director LPHA Name Director MeacutedicoTerapista David M Kan MD Lois Zsarnay

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LMFT

License Number Nuacutemero de Licencia A73621 41893

Provider Name Nombre del Proveedor Center Point Central Address Direccioacuten 1470 Civic CT 100 Concord CA 94520 Phone Teleacutefono (925) 849-6173

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 9AM- 9PM Email Address Correo Electroacutenico mheringcpincorg

Cultural Capacity Especialidad Cultural Veterans Older Adults Transition Age Youth Gay Bisexual Transgender Queer Veteranos Adultos Mayores Joacutevenes LGBTQ

Population Served Poblacioacuten servida Adults 18+ HomelessAt Risk of Homelessness Adultos 18+ Sin Hogar Con Riesgo de Quedar Sin Hogar

Accepting New Beneficiaries Acepta Nuevos Pacientes Yes Siacute

Web Site Sitio de Internet httpcpincorg

Medical Director LPHA Name Director MeacutedicoTerapista David E Smith Medical Director Heather Brostrand

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LPCC

Provider Name Nombre del Proveedor Contra Costa County Central County Adult Mental Health Services Address Direccioacuten 1420 Willow Pass Rd 200 Concord CA 94520 Phone Teleacutefono (925) 521-5117

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico peterwongcchealthorg

Web Site Sitio de Internet httpscchealthorgaodtreatmentphp

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Kennisha Johnson

License Number Nuacutemero de Licencia C34379 43943

Provider Name Nombre del Proveedor Contra Costa County Central County Child amp Adolescent Mental Health Services Address Direccioacuten 2425 Bisso Ln 200 Concord CA 94520 Phone Teleacutefono (925) 646-5468

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico denisehavertycchealthorg

Population Served Poblacioacuten servida Adults (18-21) Adolescents (12-17) Adolescent Services Adultos (18-21) Adolescentes (12-17) Servicios para Adolescents

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Elizabeth Hanna Winnie Hunyh

NPI Nuacutemero de Identificacioacuten del Proveedor 1669545786 1487849279 1700011293

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano PSYPsicoacuteloga PSYPsicoacuteloga

License Number Nuacutemero de Licencia C34379 22139 26957

Provider Name Nombre del Proveedor Contra Costa County West County Adult Clinic Address Direccioacuten 13585 San Pablo Ave 2nd Floor San Pablo CA 94806 Phone Teleacutefono (510) 942-4732

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico barbarahillcchealthorg

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Neil Sachs Robin OrsquoNeill Daisy Lam

NPI Nuacutemero de Identificacioacuten del Proveedor 1669545786 1376620336 1184829467 1235481565

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano Physician and Surgeon Meacutedico Cirujano LCSW LCSW

License Number Nuacutemero de Licencia C34379 A110140 28821 75207

Provider Name Nombre del Proveedor Contra Costa County West County Child amp Adolescent Services Address Direccioacuten 13585 San Pablo Ave 1st Floor San Pablo CA 94806 Phone Teleacutefono (510) 942-4629

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico oeumlochcchealthorg

Population Served Poblacioacuten servida Adults (18-21) Adolescent Services (12-17) Adultos (18-21) Servicios para Adolescentes(12-17)

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Neil Sachs Margaret Burton Chad Pierce

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano Physician and Surgeon Meacutedico Cirujano PSYPsicoacuteloga PSYPsicoacuteloga

Provider Name Nombre del Proveedor Contra Costa County East County Adult Mental Health Services Address Direccioacuten 2311 Loveridge Rd Pittsburg CA 94565 Phone Teleacutefono (925) 431-2670

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico luisbrowncchealthorg

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Hala Fattah Beverly Furhman Bernardita Sanabria

License Type Tipo de Licencia Physician and SurgeonMeacutedico Cirujano Physician and SurgeonMeacutedico Cirujano LMFT LMFT

Provider Name Nombre del Proveedor Contra Costa County East County Child and Adolescent Services Address Direccioacuten 2335 Country Hills Dr Antioch CA 94509 Phone Teleacutefono (925) 608-8745

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 8AM- 5PM Email Address Correo Electroacutenico sonyabluntcchealthorg

Population Served Poblacioacuten servida Adults (18-21) Adolescents (12-18) Adolescent Services Adultos (18-21) Adolescentes Jovenes (12-18) Servicios para Adolescentes

Medical Director LPHA Name Director MeacutedicoTerapista Jon Whalen MD Medical Director Patricia Gomez Monica Autrey Madden

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LCSW LMFT

License Number Nuacutemero de Licencia C34379 28687 MFC 33438

Provider Name Nombre del Proveedor REACH Antioch Address Direccioacuten 1915 D Street Antioch CA 94509 Phone Teleacutefono (925) 754-3673

Hours of Operation Horas de Servicio Monday- Appointment Only Lunes- Soacutelo Cita Tues-Fri Mart- Vie Noon- 8PM Saturday Saacutebado 9AM-5PM Email Address Correo Electroacutenico gregmoorereachprojectus

Population Served Poblacioacuten servida Adults (18-21) Adolescent amp Adult Services Co-Ed Services Adultos (18-21) Servicios para Adolescentes y Adultos Hombres y Mujeres

Languages Idiomas ArabicArabe FarsiFarsi SpanishEspantildeol

Web Site Sitio de Internet None

Medical Director LPHA Name Director MeacutedicoTerapista Scott Wada MD Medical Director Casey Coble

Provider Name Nombre del Proveedor REACH Brentwood Address Direccioacuten 101 Sand Creek Rd B Brentwood CA 94513 Phone Teleacutefono (925) 240-2045

Hours of Operation Horas de Servicio Monday- Appointment only Lunes- Soacutelo Cita Tues-Fri Mart- Vie Noon- 8PM Saturday Saacutebado 9AM-5PM Email Address Correo Electroacutenico gregmoorereachprojectus

Population Served Poblacioacuten servida Adults (18+) Adolescents 13-18 Adolescent amp Adult Services Co-Ed Services Adultos (18+) Adolescentes Jovenes (13-18)

Languages Idiomas SpanishEspantildeol

Capacity Capacidad Liacutemite 17 17

Provider Name Nombre del Proveedor REACH Oakley Address Direccioacuten 3385 Main St B Oakley CA 94561 Phone Teleacutefono (925) 679-2504

Population Served Poblacioacuten servida Adolescents 13-18 Adolescent Services Adolescentes Jovenes (13-18) Servicios para Adolescentes

License Type Tipo de Licencia Physician and Surgeon LMFT

Provider Name Nombre del Proveedor REACH Project Achieve Address Direccioacuten 1750 Harbor St B Pittsburg CA 94565 Phone Teleacutefono (925)754-3673

Hours of Operation Horas de Servicio Monday- Friday Lunes- Viernes 9AM-5PM Email Address Correo Electroacutenico gregmoorereachprojectus

Population Served Poblacioacuten servida Adolescents 13-18 Adolescent Age Youth Adolescentes 13-18

Provider Name Nombre del Proveedor Ujima Central Address Direccioacuten 2975 Treat Blvd B5 Concord CA 94518 Phone Teleacutefono (925) 691-5083

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 8AM-7PM Email Address Correo Electroacutenico michellerujimafamilyorg

Population Served Poblacioacuten servida Adults (18+) State Gender Specific Male and Female - Perinatal Women with Children (0-5) Adultos (18+) Especiacutefico de Geacutenero Perinatal Mujeres con Nintildeos de (0-5)

Languages Idiomas Lanuage Line Available Linea de asistencia linguumliacutestica

Web Site Sitio de Internet wwwujimafamilyorg

Medical Director LPHA Name Director MeacutedicoTerapista Rachel Hartshorn MD Medical Director Mary McClendon

Provider Name Nombre del Proveedor Ujima East Address Direccioacuten 180 East Leland Rd A amp B Pittsburg CA 94565 Phone Teleacutefono (925) 427-9100

Provider Name Nombre del Proveedor Ujima West Address Direccioacuten 12960 San Pablo Ave Richmond CA 94805 Phone Teleacutefono (510)215-2280

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 8AM-7PM Email Address Correo Electroacutenico marymujimafamilyorg

Population Served Poblacioacuten servida Adults (18+) Gender Specific Female Adultos (18+) Especifico de Genero Femenino

ASAM Level 21 Intensive Outpatient

Nivel 21 Cuidado Ambulatorio Intensivo

Provider Name Nombre del Proveedor Bi-BETT A Chance For Freedom Central Address Direccioacuten 560 Lennon Lane Walnut Creek CA 94598 Phone Teleacutefono (925) 685-7418

Hours of Operation Horas de Servicio Monday Thursday 830-730PM Tues Wed Fri Lu Ma Mie Jue 830AM- 430PM Email Address Correo Electroacutenico bbacctbibettorg

Cultural Capacity Capacitacioacuten en competencia cultural Veterans Older Adults Transitions Age Youth Gay Bisexual Transgender Queer Veteranos Adultos Mayores Joacutevenes LGBTQ

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Frank Lawatsch LCP

Hours of Operation Horas de Servicio Monday-Friday Lunes-Viernes 9AM- 9PM Email Address Correo Electroacutenico Mheringcpinorg

License Number Nuacutemero de Licencia A21625 LPCC 433

Hours of Operation Horas de Servicio Monday- Appointment Only Lunes- Soacutelo Cita Tues-Fri Noon- 8PM Saturday Saacutebado 9AM-5PM Email Address Correo Electroacutenico gregmoorereachprojectus

Cultural Capacity Capacitacioacuten en competencia cultural Veterans Older Adults Transition Age Youth Gay Bisexual Transgender Queer Veteranos Adultos Mayores Joacutevenes LGBTQ

Provider Name Nombre del Proveedor REACH Brentwood Address Direccioacuten 101 Sand Creek Rd B Brentwood CA 94513 Phone Teleacutefono 925) 240-2045

Hours of Operation Horas de Servicio Monday- Appointment only Lunes- Soacutelo Cita Tues-Fri Mar-Vier Noon- 8PM Saturday Saacutebado 9AM-5PM Email Address Correo Electroacutenico gregmoorereachprojectus

Population Served Poblacioacuten servida Adults (18+) Adolescents 13-18 Adolescent and Adult Services Co-Ed Services Adultos (18+) Adolescentes Joacutevenes (13-18)

Cultural Competence Training Capacitacioacuten en Competencia Cultural YesSi

Population Served Poblacioacuten servida Adults (18+) Gender Specific Female Adultos(18+) Especiacutefico de Geacutenero Femenino

DMC Certified Programa Certificado por Medi-Cal Yes

ADA Compliant Cumple con la Ley de Discapacidades YesSi

ASAM Level 31 Residential Nivel 31 Residencial

Contra Costa County DMC-ODS ASAM Level 31 Residential Treatment ProvidersCuidado Residencial November 2020 Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Noviembre 2020

Provider Name Nombre del Proveedor BI-BETT Diablo Valley Ranch Address Direccioacuten 11540 Marsh Creek Rd Clayton CA 94517 Phone Teleacutefono (925) 672-5700

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico dvrbibettorg

Population Served Poblacioacuten servida Adults (18+) Multicultural Gender Specific Male Adultos (18+) Multi Cultural Especifico de Geacutenero Masculino

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Joseph Gardner Tom Rohrer

License Number Nuacutemero de Licencia G36471 20652 20325

Provider Name Nombre del Proveedor BI-BETT East County Wollam Address Direccioacuten 2 4 12 14 22 24 32 34 Davi Ave Pittsburg CA 94565 Phone Teleacutefono (925) 427-1384

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico wollambibettorg

Population Served Poblacioacuten servida Adults (18+) Gender Specific Female Adultos (18+) Especifico de Geacutenero Femenino

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Frank Lawatsch Elizabeth Vigil

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano PSYPsicoacuteloga AMFT

Provider Name Nombre del Proveedor BI-BETT Ozanam Center Address Direccioacuten 2931 and 2950 Prospect Ave 1390 Santa Clara Ave Concord CA 94518 Phone Teleacutefono (925) 676-4840

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico theozbibettorg

Population Served Poblacioacuten servida Adults (18+) Gender Specific Female Adultos (18+) Especiacutefico de Geacutenero Femenino

Provider Name Nombre del Proveedor BI-BETT Pueblos Del Sol Address Direccioacuten 2090 Commerce Ave Concord CA 94520 Phone Teleacutefono (925) 676-2580

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico pdsdetoxbibettorg

Population Served Poblacioacuten servida Adults (18+) Gender Specific Male Adultos (18+) Especiacutefico de Geacutenero Masculino

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Sofia Herrera Kathy Pongrace

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LCSW LCSW

Provider Name Nombre del Proveedor Contra Costa County Discovery House Address Direccioacuten 4645 Pacheco Blvd Martinez CA 94553 Phone Teleacutefono (925) 646-9270

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico harrisonstewartcchealthorg

Population Served Poblacioacuten servida Adults (18+) Multicultural Gender Specific Male Adultos (18+) Multi Cultural Especiacutefico de Geacutenero Masculino

Web Site Sitio de Internet cchealthorgaod

Medical Director LPHA Name Director MeacutedicoTerapista Dr Lynn Bertram Medical Director Laureacuten E Ham Greene

Provider Name Nombre del Proveedor J Cole Recovery Homes Address Direccioacuten 1408 A St Antioch CA 94509 Phone Teleacutefono (925) 978-2873

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico colehseaolcom

Population Served Poblacioacuten servida Adults 18+ Multicultural Gender Specific Male Adultos (18+) Multi Cultural Especiacutefico de Geacutenero Masculino

Web Site Sitio de Internet wwwthecolehouseorg

Medical Director LPHA Name Director MeacutedicoTerapista Dr John Christian ONeil Medical Director

NPI Nuacutemero de Identificacioacuten del Proveedor 1952573826

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano

License Number Nuacutemero de Licencia A118663

Provider Name Nombre del Proveedor The Latino Commision Aviva House Address Direccioacuten 1724 Bryant St San Francisco CA 94110 Phone Teleacutefono (415) 558-9125

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico smacielthelatinocommissionorg

Cultural Capacity Especialidad Cultural PregnantLatina Women with Children

Population Served Poblacioacuten servida Adults 18+ PerinatalWomen with Children Residential Adultos (18+) Residencial Para Mujeres

Web Site Sitio de Internet httpswwwthelatinocommissionorg

Provider Name Nombre del Proveedor The Latino Commision Casa Maria Address Direccioacuten 508 7th Avenue San Bruno CA 94066 Phone Teleacutefono (650) 244-1444

Cultural Capacity Especialidad Cultural Latina women

Population Served Poblacioacuten servida Adults (18+) Gender Specific Women Residential Adultos (18+) Residencial Para Mujeres

Provider Name Nombre del Proveedor Ujima La Casa 904 Address Direccioacuten 904 Mellus St Martinez CA 94553 Phone Teleacutefono (925) 229-0230

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico michellemujimafamilyorg

Cultural Capacity Especialidad Cultural Transition Age Youth Gay Bisexual Transgender Queer Mayores Joacutevenes LGBTQ

Population Served Poblacioacuten servida Adults (18+) Gender Specific Female- Perinatal Women with Children Adultos (18+) Especiacutefico de Geacutenero Femenino Perinatal Mujeres con Nintildeos

Medical Director LPHA Name Director MeacutedicoTerapista Rachel Hartshorn MD Medical Director Victoria Stiefvater

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico Michellemujimafamilyorg

Population Served Poblacioacuten servida Adults 18+ Gender Specific Female- Perinatal Women with Children Especiacutefico de Geacutenero Femenino Perinatal Mujeres con Nintildeos

Provider Name Nombre del Proveedor Ujima The Rectory Address Direccioacuten 1901 Church St San Pablo CA 94806 Phone Teleacutefono (510) 970-7425

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico christinanujimafamilyorg

Medical Director LPHA Name Director MeacutedicoTerapista Rachel Hartshorn MD Medical Director Gail Rigelhaupt

Provider Name Nombre del Proveedor WestCare Richmond Health and Wellness Center Address Direccioacuten 208 23rd St Richmond CA 94804 Phone Teleacutefono (510) 251-4800

Hours of Operation Horas de Servicio Sunday- Saturday Domingo- Saacutebado 24 Hours Email Address Correo Electroacutenico GertrudeWilsonwestcarecom

Population Served Poblacioacuten servida Adults 18+ Gender Specific Male Adultos 18+ Especiacutefico de Geacutenero Masculino

DMC Certified Programa Certificado por Medi-Cal Pending Pendiente

Languages Idiomas Language Line Available

Web Site Sitio de Internet wwwwestcarecom

Medical Director LPHA Name Director MeacutedicoTerapista Herbert Cruz MD Medical Director Kathy Hayden

License Type Tipo de Licencia Physician LMFT

ASAM Level 32 Residential Withdrawal Management

Nivel 32 Manejo de Abstinencia Residencial

Contra Costa County DMC-ODS ASAM Level 32 Withdrawal ManagementManejo de Abstinencia November 2020 Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Noviembre 2020

Population Served Poblacioacuten servida Adults 18+ Gender Specific Female Adultos 18+ Especiacutefico de Geacutenero Femenino

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Yolanda Greene

License Type Tipo de Licencia Physician and Surgeon Meacutedico Cirujano LCSW

Provider Name Nombre del Proveedor BI-BETT Ozanam Center Address Direccioacuten 2931 Prospect Ave Concord CA 94518 Phone Teleacutefono (925) 676-4840

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Susan Gallagher

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Kathy Pongrace

Contra Costa County DMC-ODS ASAM Level 35 Residential Treatment ProvidersTratamiento Residencial November 2020 Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Noviembre 2020

Medical Director LPHA Name Director MeacutedicoTerapista Kenneth Saffier MD Medical Director Tom Rohrer

Cultural Competence Training Capacitacioacuten en Competencia Cultural Yes Si

DMC Certified Programa Certificado por Medi-Cal Yes Si

Accepting New Beneficiaries Acepta Nuevos Pacientes Yes Si

Medication Assisted Treatment (MAT)

Tratamiento Asistido con Medicamentos

Contra Costa County DMC-ODS Medication Assisted Treatment Providers Tratamiento Asistido con Medicamentos November 2020 Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Noviembre 2020

Provider Name Nombre del Proveedor BAART Inc East Address Direccioacuten 3707 Sunset Ln Antioch CA 94509 Phone Teleacutefono (925) 522-0124

Hours of Operation Horas de Servicio Monday- Friday Lunes- Viernes 6AM-2PM SatSun amp Holidays Saacuteb Dom amp Feriados 7AM- 1030AM Email Address Correo Electroacutenico amandellmedmarkcom

Population Served Poblacioacuten servida Adults 18+ Opioid Narcotic Treatment Methadone Adultos (18+) Tratamiento Para Opioides con Metadona Buprenorphine Buprenorfina

Languages Idiomas HmongMong SpanishEspantildeol Tagalog Tagaacutelog

Web Site Sitio de Internet wwwbaartprogramscom

Medical Director LPHA Name Director MeacutedicoTerapista William Quismorio Medical Director

Provider Name Nombre del Proveedor BAART Inc West Address Direccioacuten 1313 Cutting Blvd Richmond CA 94804 Phone Teleacutefono (510) 232-0874

Hours of Operation Horas de Servicio Monday- Friday Lunes- Viernes 6AM-2PM SatSun amp Holidays Saacuteb Dom amp Feriados 7AM- 1030AM Email Address Correo Electroacutenico uwilliamsmedmarkcom

Languages Idiomas JapaneseJaponeacutes SpanishEspantildeol TagalogTagaacutelog

Medical Director LPHA Name Director MeacutedicoTerapista Kyle Moore Medical Director

Provider Name Nombre del Proveedor Contra Costa County Choosing Change Antioch Address Direccioacuten 3505 Lone Tree Wy Antioch CA 94509 Phone Teleacutefono 1-800-846-1652

Hours of Operation Horas de Servicio Monday Lunes 8AM-12PM Email Address Correo Electroacutenico None

Population Served Poblacioacuten servida Adults 18+ Suboxone Buprenorphine Behavioral Health Support HomelessAt Risk of Homelessness Adultos (18+) Suboxone Buprenorfina Apoyo de Salud Conductual Sin Hogar con Riesgo de Quedar Sin Hogar

Federally Qualified Health Center (FQHC) Medi-Cal Centro de Salud Calificado Medi-Cal

Web Site Sitio de Internet wwwcchealthorgcentersantiochphp

Medical Director LPHA Name Director MeacutedicoTerapista Ori Tzvieli MD Medical Director

Provider Name Nombre del Proveedor Contra Costa County Choosing Change Concord Health Center 2 Address Direccioacuten 3024 Willow Pass Rd Concord CA 94519 Phone Teleacutefono 1-800-846-1652

Hours of Operation Horas de Servicio Tuesday Martes 8AM-12PM amp 3PM Wednesday Mieacutercoles 9AM- 5PM- 9PM Thursday Jueves 1PM- 5PM Email Address Correo Electroacutenico None

Web Site Sitio de Internet wwwcchealthorgcentersconcordphp

Provider Name Nombre del Proveedor Contra Costa County Choosing Change Miller Wellness Center Address Direccioacuten 25 Allen Street Martinez CA 94553 Phone Teleacutefono 1-800-846-1652

Hours of Operation Horas de Servicio Wednesday Mieacutercoles 8AM- 12PM Friday Viernes 1PM- 5PM Email Address Correo Electroacutenico None

Web Site Sitio de Internet wwwcchealthorgcentersmwcphp

Provider Name Nombre del Proveedor Contra Costa County Choosing Change Pittsburg Health Center Address Direccioacuten 2311 Loveridge Rd Pittsburg CA 94565 Phone Teleacutefono 1-800-846-1652

Hours of Operation Horas de Servicio Monday Lunes 1PM- 5PM Friday Viernes 1PM- 5PM Email Address Correo Electroacutenico None

Web Site Sitio de Internet wwwcchealthorgcenterspittsburgphp

Provider Name Nombre del Proveedor Contra Costa County Choosing Change West County Health Center Address Direccioacuten 13601 San Pablo Avenue San Pablo CA 94806 Phone Teleacutefono 1-800-846-1652

Hours of Operation Horas de Servicio Tuesday Martes 1PM- 5PM Email Address Correo Electroacutenico None

Web Site Sitio de Internet wwwcchealthorgcenterswchcphp

Provider Name Nombre del Proveedor Aegis Treatment Centers Stockton Address Direccioacuten 8626 Lower Sacramento Rd 41 Stockton CA 95210 Phone Teleacutefono (209) 478-2487

Hours of Operation Horas de Servicio Monday- Friday Lunes- Viernes 5AM- 130PM Sat Sun amp Holidays Saacuteb Dom amp Feriados 6AM- 1030AM Email Address Correo Electroacutenico infoaegistreatmentcenterscom

Population Served Poblacioacuten servida Adults 18+ Opioid Treatment Tratamiento Para Opioides Methadone Suboxone Buprenorphine Behavioral Health Support HomelessAt Risk of Homelessness Adultos (18+) Suboxone Metadona Buprenorfina Apoyo de Salud Conductual Sin Hogar con Riesgo de Quedar Sin Hogar

Web Site Sitio de Internet httpsaegistreatmentcenterscomclinics

Medical Director LPHA Name Director MeacutedicoTerapista Paul Randall Medical Director

Provider Name Nombre del Proveedor Aegis Treatment Centers Merced Address Direccioacuten 1343 W Main St A and B amp 1349 W Main St Merced CA 95340 Phone Teleacutefono (209) 725-1060

Population Served Poblacioacuten servida Adults 18+ Opioid Treatment Tratamiento Para Opioides Suboxone Methadone Buprenorphine Behavioral Health Support HomelessAt Risk of Homelessness Adultos (18+) Suboxone MetadonaBuprenorfina Apoyo de Salud Conductual Sin Hogar con Riesgo de Quedar Sin Hogar

Medical Director LPHA Name Director MeacutedicoTerapista Robert Cooper Medical Director

License Number Nuacutemero de Licencia G37994

Provider Name Nombre del Proveedor Aegis Treatment Centers Healthy Connections Lodi Address Direccioacuten 441 S Ham Ln A Lodi CA 95337 Phone Teleacutefono (209) 224-8940

Hours of Operation Horas de Servicio Monday- Friday Lunes- Viernes 5AM- 630PM Sat Sun amp Holidays Saacuteb Dom amp Feriados 7AM- 1200PM Email Address Correo Electroacutenico infoaegistreatmentcenterscom

Population Served Poblacioacuten servida Adults 18+ Opioid Treatment Tratamiento Para Opioides Suboxone Methadone Buprenorphine Behavioral Health Support HomelessAt Risk of Homelessness Adultos (18+) SuboxoneMetadona Buprenorfina Apoyo de Salud Conductual Sin Hogar con Riesgo de Quedar Sin Hogar

Medical Director LPHA Name Director MeacutedicoTerapista Brian Talleur Medical Director

Provider Name Nombre del Proveedor Aegis Treatment Centers Healthy Connections Manteca Address Direccioacuten 955 W Center St 12A 12B amp 14 Manteca CA 95337 Phone Teleacutefono (209) 239-9600

Population Served Poblacioacuten servida Adults 18+ Opioid Treatment Tratamiento Para Opioides Suboxone Methadone Buprenorphine Behavioral Health Support HomelessAt Risk of Homelessness Adultos (18+) Suboxone Metadona Buprenorfina Apoyo de Salud Conductual Sin Hogar con Riesgo de Quedar Sin Hogar

Medical Director LPHA Name Director MeacutedicoTerapista Michelle Rowe Medical Director

License Type Tipo de Licencia Osteopathic Physician and Surgeon Meacutedico Cirujano Medicina Osteoacutepata

License Number Nuacutemero de Licencia 9607

Provider Name Nombre del Proveedor Aegis Treatment Centers Healthy Connections Stockton 1 Address Direccioacuten 1947 N California St B amp C Stockton CA 95204 Phone Teleacutefono (209) 463-0870

Medical Director LPHA Name Director MeacutedicoTerapista Harvey Raskind Medical Director

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Provider Name Nombre del Proveedor Aegis Treatment Centers Healthy Connections Stockton 2 Address Direccioacuten 1839 S El Dorado St Stockton CA 95206 Phone Teleacutefono (209) 463-0872

Medical Director LPHA Name Director MeacutedicoTerapista Michael Fox Medical Director

PROVIDER DIRECTORY




ASAM Level 31 Residential

Nivel 31 Residencial

Page 1 of 6 Paacutegina 1 of 6

ASAM Level 32

Residential Withdrawal Management

Nivel 32

Manejo de Abstinencia Residencial



Medication Assisted Treatment

(MAT)


INTRODUCTION Welcome to the Drug Medi‐Cal Organized Delivery System (DMC‐ODS) Plan If you are a Medi-Cal Contra Costa resident and if you or your family member needs treatment for alcohol and other drugs please contact the Behavioral Health Access Line at 1-888-678-7277 or (800) 846-1652 (toll free) or if you are hearingspeech impaired call the California Relay Service (CRS) at 711 (TTYTDD) The following is a comprehensive list of Providers for the Contra Costa Drug Medi-Cal Organized Delivery System (DMC-ODS) The Access Line counselors will conduct a screening and referral to a DMC-ODS Plan provider who will then conduct an assessment to determine medical necessity based on the American Society of Addiction Medicine (ASAM) Criteria For urgent conditions Withdrawal Management (detox) or Medication Assisted Treatment (MAT) such as Methadone or Buprenorphine you may contact the program directly for immediate support Unless indicated in the respective section all Providers are accepting new beneficiaries Note that all providers can accommodate persons with physical disabilities and serve Contra Costa Medi-Cal beneficiaries even if the site is not yet DMC Certified Interpreter services are available through the Access Line

INTRODUCCION Bievenidos al Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Si uacutested oacute un ser querido necesita servicios de tratamiento para el alcohol y las drogas por favor llame a la Liacutenea de Acceso al 1-888-678-7277 oacute al (800) 846-1652 (gratis) Si uacutested tiene un impedimento del hablaoiacutedo llame al servicio California Relay Service (CRS) al 711 (TTYTDD) A continuacioacuten uacutested encontraraacute la lista detallada de proveedores de servicios del Sistema Organizado de Entrega de Medicamentos de Medi-Cal del Condado de Contra Costa Los consejeros de la Liacutenea de Acceso le haraacuten una entrevista y luego le transferiraacuten a un proveedor quieacuten le haraacute una evaluacioacuten para determinar la necesidad meacutedica basada en los criterios de la Sociedad Americana de Medicina contra la Adiccioacuten oacute ASAM por sus siglas en Ingleacutes Para citas urgeacutentes como de manejo de abstinencia medicamentos para la addiccioacuten o metadoacutena uacutested puede contactar al programa directamente para acceso raacutepido A menos que se indiacuteque todos los provedores estaacuten aceptando beneficiaries nuevos Es importante destacar que todos los proveedores pueden adaptar los servicios a personas con descapacidades fiacutesicas y proveeacuter servicios auacuten y cuacuteando la certificacioacuten de Medi-Cal estaacute pendiente Los Servicios de interpretacioacuten estaacuten disponibles a traveacutes de todos los proveedores de la organizacioacuten y la Liacutenea de Acceso

(888) 678-7277 (TTY 711) 번으로 전화해 주십시오

PROVIDER DIRECTORY