(865) 335-5286 A + DUI and Defensive Driving S Treatment and Insurance for Addiction Alcoa www.duischooltn.com
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(423) 351-0088 Action Counseling and Consulting Treatment and Insurance for Addiction Sweetwater Info: Action Counseling and Consulting Treatme

(423) 339-2713 Action Counseling and Consulting Treatment and Insurance for Addiction Cleveland Info: Action Counseling and Consulting Treatme

(865) 546-7577 Agape Inc Knoxville Knoxville Treatment and Insurance for Addiction Knoxville www.agapetn.org
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(865) 546-7577 Agape Inc Knoxville Treatment and Insurance for Addiction Knoxville www.agapetn.org
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(865) 546-7577 Agape Inc Treatment and Insurance for Addiction Knoxville www.agapetn.org
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(731) 427-7238 Aspell Recovery Center Treatment and Insurance for Addiction Jackson www.aspellrecovery.com
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(901) 271-5348 Baby Love Case Management Pregna Treatment and Insurance for Addiction Memphis cmiofmemphis.org
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(731) 884-8400x8266 Baptist Memorial Hospital Behavi Treatment and Insurance for Addiction Union City www.bmhcc.org
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(865) 981-2300 Blount Memorial Hospital Emotion Treatment and Insurance for Addiction Maryville www.blountmemorial.org
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(423) 892-2639 Bradford Health Services Chattan Treatment and Insurance for Addiction Chattanooga www.bradfordhealth.com
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(931) 542-9816 Bradford Health Services Clarksv Treatment and Insurance for Addiction Clarksville www.bradfordhealth.com
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(931) 528-6803 Bradford Health Services Cookevi Treatment and Insurance for Addiction Cookeville www.bradfordhealth.com
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(615) 595-1028 Bradford Health Services Frankli Treatment and Insurance for Addiction Franklin www.bradfordhealth.com
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(800) 464-0824 Bradford Health Services Manches Treatment and Insurance for Addiction Manchester www.bradfordhealth.com
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(800) 677-8209 Bradford Health Services Nashvil Treatment and Insurance for Addiction Nashville www.bradfordhealth.com
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(865) 693-9326 Bradford Health Services Treatment and Insurance for Addiction Knoxville www.bradfordhealth.com
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(865) 573-3656 Brookhaven Retreat Treatment and Insurance for Addiction Seymour www.brookhavenretreat.com
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(800) 447-2766 Buffalo Valley Inc Hohenwald Hoh Treatment and Insurance for Addiction Hohenwald www.buffalovalley.org
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(800) 447-2766 Buffalo Valley Inc Hohenwald Treatment and Insurance for Addiction Hohenwald www.buffalovalley.org
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(800) 447-2766 Buffalo Valley Inc Treatment and Insurance for Addiction Hohenwald www.buffalovalley.org
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(800) 447-2766 Buffalo Valley Outpatient Treatment and Insurance for Addiction Hohenwald www.buffalovalley.org
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(423) 562-7426 Campbell County Outpatient Cente Treatment and Insurance for Addiction LaFollette www.ridgeviewresources.com
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(731) 925-8619 Care of Savannah Jack Gean Shelt Treatment and Insurance for Addiction Savannah Info: Care of Savannah Jack Gean Shelt Treatme

(731) 642-0521 Carey Counseling Center Paris Si Treatment and Insurance for Addiction Paris www.careyinc.org
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(731) 855-2871 Carey Counseling Center Trenton Treatment and Insurance for Addiction Trenton www.careyinc.org
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(731) 885-8810 Carey Counseling Center Union Ci Treatment and Insurance for Addiction Union City www.careyinc.org
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(615) 453-0601 Carlton G Wood PhD and Deborah S Treatment and Insurance for Addiction Lebanon Info: Carlton G Wood PhD and Deborah S Treatme

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(931) 920-7200x7247 Centerstone Harriet Cohn Center Treatment and Insurance for Addiction Clarksville www.centerstone.org
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(615) 460-4300 Centerstone Madison Treatment and Insurance for Addiction Madison www.centerstone.org
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(931) 359-5802 Centerstone Marshall County Ment Treatment and Insurance for Addiction Lewisburg www.centerstone.org
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(931) 461-1300x1335 Centerstone Tullahoma Treatment and Insurance for Addiction Tullahoma www.centerstone.org
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(931) 722-3644 Centerstone Wayne County Mental Treatment and Insurance for Addiction Waynesboro centerstone.org
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(931) 473-9649 CHEER Mental Health Center Treatment and Insurance for Addiction Mc Minnville www.vbhcs.org
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(865) 992-3849 Cherokee Health Systems Maynardv Treatment and Insurance for Addiction Maynardville www.cherokeehealth.com
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(423) 586-5032 Cherokee Health Systems Morristo Treatment and Insurance for Addiction Morristown www.cherokeehealth.com
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(423) 626-8271 Cherokee Health Systems New Taze Treatment and Insurance for Addiction New Tazewell www.cherokeehealth.com
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(423) 587-7337 Cherokee Health Systems Substanc Treatment and Insurance for Addiction Talbott www.cherokeehealth.com
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(865) 993-4300 Cherokee Health Systems Treatment and Insurance for Addiction Bean Station www.cherokeehealth.com
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(865) 246-1100x235 Child and Family Tennessee Great Treatment and Insurance for Addiction Knoxville www.child-family.org
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(901) 360-0442 Cocaine and Alcohol Awareness Pr Treatment and Insurance for Addiction Memphis www.caapincorporated.com
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(423) 639-7777 Comprehensive Community Services Treatment and Insurance for Addiction Greeneville www.ccstreatment.com
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(423) 764-2196 Comprehensive Community Services Treatment and Insurance for Addiction Bristol www.ccstreatment.com
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(423) 349-4070 Comprehensive Community Services Treatment and Insurance for Addiction Kingsport www.ccstreatment.com
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(423) 765-2653 Comprehensive Community Services Treatment and Insurance for Addiction Kingsport Info: Comprehensive Community Services Treatme

(423) 928-6581 Comprehensive Community Services Treatment and Insurance for Addiction Johnson City www.ccstreatment.com
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(865) 970-7747 Cornerstone of Recovery Inc Treatment and Insurance for Addiction Louisville www.cornerstoneofrecovery.com
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(423) 267-6425x201 Council for Alcohol DA Servs (CA Treatment and Insurance for Addiction Chattanooga www.cadas.org
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(423) 756-7644 Council for Alcohol DA Servs (CA Treatment and Insurance for Addiction Chattanooga www.cadas.org
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(423) 756-7644 Council for Alcohol DA Servs (CA Treatment and Insurance for Addiction Chattanooga www.cadas.org
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(615) 446-7034 CRC Health Tennessee DBA New Lif Treatment and Insurance for Addiction Burns www.newlifelodge.com
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(865) 286-5637 Cross Roads Counseling Center Treatment and Insurance for Addiction Sevierville www.crossroadscctn.com
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(615) 352-1757 Cumberland Heights Alcohol and D Treatment and Insurance for Addiction Nashville www.cumberlandheights.org
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(615) 872-2757 Cumberland Heights Outpatient Se Treatment and Insurance for Addiction Hermitage www.cumberlandheights.org
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(731) 660-2790 Cumberland Heights Outpatient Se Treatment and Insurance for Addiction Jackson www.cumberlandheights.org
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(615) 824-5801 Cumberland Mental Health Service Treatment and Insurance for Addiction Hendersonville www.vbhcs.org
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(615) 452-1354 Cumberland Mental Health Service Treatment and Insurance for Addiction Gallatin www.vbhcs.org
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(615) 444-4300 Cumberland Mental Health Service Treatment and Insurance for Addiction Lebanon www.vbhcs.org
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(931) 823-5678 Dale Hollow Mental Health Center Treatment and Insurance for Addiction Livingston www.vbhcs.org
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(901) 369-6021 Delta Medical Center Treatment and Insurance for Addiction Memphis www.deltamedcenter.com
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(865) 522-0661 DRD Knoxville Medical Clinic Cen Treatment and Insurance for Addiction Knoxville Info: DRD Knoxville Medical Clinic Cen Treatme

(865) 522-0161 DRD Knoxville Medical Clinic Treatment and Insurance for Addiction Knoxville Info: DRD Knoxville Medical Clinic Treatment a

(865) 525-4627 E M Jellinek Center Treatment and Insurance for Addiction Knoxville Info: E M Jellinek Center Treatment and Insura

(877) 459-8595 English Mountain Recovery Treatment and Insurance for Addiction Sevierville www.emrecovery.org
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(865) 602-2021x102 Florence Crittenton Agency Inten Treatment and Insurance for Addiction Knoxville www.fcaknox.org
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(423) 308-2560 Focus Healthcare of Tennessee Treatment and Insurance for Addiction Chattanooga www.focustreatmentcenter.com
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(423) 989-4502 Frontier Health Bristol Regional Treatment and Insurance for Addiction Bristol www.frontierhealth.org
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(423) 232-4130 Frontier Health Magnolia Ridge Treatment and Insurance for Addiction Johnson City www.frontierhealth.org
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(423) 639-1104 Frontier Health Nolachuckey Hols Treatment and Insurance for Addiction Greeneville www.frontierhealth.org
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(423) 232-2600 Frontier Health Watauga Mental H Treatment and Insurance for Addiction Johnson City www.frontierhealth.org
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(901) 276-2364 Grace House Extended Treatment and Insurance for Addiction Memphis www.gracehousememphis.org
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(901) 722-8460 Grace House Inc Treatment and Insurance for Addiction Memphis www.gracehousememphis.org
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(615) 794-9973 Guidance Center Franklin Treatment and Insurance for Addiction Franklin www.vbhcs.org
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(615) 893-0770 Guidance Center Murfreesboro Treatment and Insurance for Addiction Murfreesboro www.vbhcs.org
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(615) 459-9251 Guidance Center Smyrna Treatment and Insurance for Addiction Smyrna www.vbhcs.org
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(901) 743-1836x2228 Harbor House Inc Memphis Treatment and Insurance for Addiction Memphis www.harborhousememphis.org
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(865) 523-4704 Helen Ross McNabb Center CenterP Treatment and Insurance for Addiction Knoxville www.mcnabbcenter.org
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(865) 523-4704x3409 Helen Ross McNabb Center CenterP Treatment and Insurance for Addiction Knoxville www.mcnabbcenter.org
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(865) 521-9788 Helen Ross McNabb Center Sisters Treatment and Insurance for Addiction Knoxville www.mcnabbcenter.org
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(731) 784-8814 Heres Hope Counseling Center Hum Treatment and Insurance for Addiction Humboldt Info: Heres Hope Counseling Center Hum Treatme

(731) 287-8100 Heres Hope Counseling Center Treatment and Insurance for Addiction Dyersburg Info: Heres Hope Counseling Center Treatment a

(423) 745-8802 Hiwassee Mental Health Center At Treatment and Insurance for Addiction Athens www.vbhcs.org
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(423) 479-5454 Hiwassee Mental Health Center Treatment and Insurance for Addiction Cleveland www.vbhcs.org
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(423) 442-9850 Hiwassee Mental Health Treatment and Insurance for Addiction Madisonville Info: Hiwassee Mental Health Treatment and Ins

(865) 482-4826 Hope of East Tennessee Inc Oak R Treatment and Insurance for Addiction Oak Ridge www.hopeofet.org
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(865) 482-4826 Hope of East Tennessee Inc Treatment and Insurance for Addiction Oak Ridge www.hopeofet.org
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(731) 423-3653 Jackson Area Council on Alcoholi Treatment and Insurance for Addiction Jackson www.jacoa.org
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(731) 660-0880 Jackson Professional Associates Treatment and Insurance for Addiction Jackson Info: Jackson Professional Associates Treatmen

(423) 926-1171x2762 James H Quillen VAMC Treatment and Insurance for Addiction Mountain Home www.mountainhome.va.gov/
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(423) 870-9033 Johnson Mental Health Center Treatment and Insurance for Addiction Chattanooga www.vbhcs.org
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(615) 885-3615 Kathryn Benson Clinical Consulti Treatment and Insurance for Addiction Nashville Info: Kathryn Benson Clinical Consulti Treatme

(901) 726-6053 La Paloma Treatment Center Treatment and Insurance for Addiction Memphis www.lapalomatreatment.com/
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(615) 327-6255 Lloyd C Elam Mental Health Cente Treatment and Insurance for Addiction Nashville Info: Lloyd C Elam Mental Health Cente Treatme

(901) 416-5600 Memphis City Schools Mental Heal Treatment and Insurance for Addiction Memphis Info: Memphis City Schools Mental Heal Treatme

(901) 272-7751 Memphis Recovery Centers Inc Treatment and Insurance for Addiction Memphis www.memphisrecovery.com
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(901) 682-6136 Mental Health Resources P Treatment and Insurance for Addiction Memphis www.mhrmemphis.com
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(731) 285-6535 Midsouth Treatment Center Treatment and Insurance for Addiction Dyersburg Info: Midsouth Treatment Center Treatment and

(423) 942-3961 Mountain Valley Mental Health Ce Treatment and Insurance for Addiction Jasper www.vbhcs.org
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(615) 259-4866x215 Nashville CARES Treatment and Insurance for Addiction Nashville Info: Nashville CARES Treatment and Insurance

(615) 251-8805 Next Door Inc Treatment and Insurance for Addiction Nashville www.thenextdoor.org
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(865) 934-2890 Next Door Knoxville Treatment and Insurance for Addiction Knoxville www.thenextdoor.org
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(423) 894-4220 Parkridge Valley Hospital Treatment and Insurance for Addiction Chattanooga www.parkridgevalley.com
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(615) 342-1400 Parthenon Pavilion CMC Dual Stab Treatment and Insurance for Addiction Nashville www.tristarhealth.com
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(731) 587-3854 Pathways of Tennessee Inc Martin Treatment and Insurance for Addiction Martin Info: Pathways of Tennessee Inc Martin Treatme

(731) 772-4685 Pathways of Tennessee Inc Treatment and Insurance for Addiction Brownsville Info: Pathways of Tennessee Inc Treatment and

(731) 885-9333 Pathways of Tennessee Inc Union Treatment and Insurance for Addiction Union City Info: Pathways of Tennessee Inc Union Treatme

(731) 541-8200 Pathways of Tennessee Substance Treatment and Insurance for Addiction Jackson Info: Pathways of Tennessee Substance Treatme

(865) 970-9800 Peninsula Hospital Dual Diagnosi Treatment and Insurance for Addiction Louisville Info: Peninsula Hospital Dual Diagnosi Treatme

(865) 970-9800 Peninsula Lighthouse Treatment and Insurance for Addiction Knoxville www.peninsulabehavioralhealth.org
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(931) 388-9406 Place of Hope Inc Treatment and Insurance for Addiction Columbia www.placeofhopetn.org
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(931) 432-4123 Plateau Mental Health Center Treatment and Insurance for Addiction Cookeville www.vbhcs.org
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(731) 287-1794x33 Professional Care Services of We Treatment and Insurance for Addiction Dyersburg www.pcswtn.org
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(901) 465-9831 Professional Care Services of We Treatment and Insurance for Addiction Somerville www.pcswtn.org
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(901) 873-0305 Professional Care Services of We Treatment and Insurance for Addiction Covington www.pcswtn.org
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(731) 635-3968 Professional Care Services of We Treatment and Insurance for Addiction Ripley www.pcswtn.org
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(731) 658-6113 Quinco Community Mental Health C Treatment and Insurance for Addiction Bolivar Info: Quinco Community Mental Health C Treatme

(731) 989-3401 Quinco Mental Health Center Ches Treatment and Insurance for Addiction Henderson Info: Quinco Mental Health Center Ches Treatme

(731) 852-3112 Quinco Mental Health Center Deca Treatment and Insurance for Addiction Decaturville Info: Quinco Mental Health Center Deca Treatme

(731) 925-5054 Quinco Mental Health Center Hard Treatment and Insurance for Addiction Savannah Info: Quinco Mental Health Center Hard Treatme

(731) 967-8803 Quinco Mental Health Center Hend Treatment and Insurance for Addiction Lexington Info: Quinco Mental Health Center Hend Treatme

(731) 664-2083 Quinco Mental Health Center Madi Treatment and Insurance for Addiction Jackson Info: Quinco Mental Health Center Madi Treatme

(731) 645-5753 Quinco Mental Health Center McNa Treatment and Insurance for Addiction Selmer Info: Quinco Mental Health Center McNa Treatme

(901) 372-7878 Raleigh Professional Associates Treatment and Insurance for Addiction Memphis Info: Raleigh Professional Associates Treatmen

(800) 849-5969 Ranch Treatment and Insurance for Addiction Nunnelly www.recoveryranch.com
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(615) 255-5222 Renewal House Inc Treatment and Insurance for Addiction Nashville www.renewalhouse.org
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(865) 482-1076x1100 Ridgeview Psychiatric Hospital a Treatment and Insurance for Addiction Oak Ridge www.ridgeviewresources.com
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(800) 832-0388 Rolling Hills Hospital Franklin Treatment and Insurance for Addiction Franklin www.rollinghillshospital.org
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(615) 244-4802 Samaritan Recovery Community Inc Treatment and Insurance for Addiction Nashville www.samctr.org
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(901) 521-1131x201 Serenity Recovery Centers Inc Treatment and Insurance for Addiction Memphis www.serenityrecovery.org
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(423) 339-4166 Skyridge Medical Center West Sid Treatment and Insurance for Addiction Cleveland www.skyridgemedicalcenter.net
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(731) 925-2767 Solutions of Savannah Treatment and Insurance for Addiction Savannah Info: Solutions of Savannah Treatment and Insu

(901) 369-1400x1214 Southeast Mental Health Center A Treatment and Insurance for Addiction Memphis Info: Southeast Mental Health Center A Treatme

(731) 393-0304 Spirit Lake Recovery Treatment and Insurance for Addiction Mc Kenzie www.spiritlakerecovery.com
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(901) 332-2227 Synergy Treatment Centers Treatment and Insurance for Addiction Memphis www.synergytc.org
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(615) 420-6673 Teen Challenge International Nas Treatment and Insurance for Addiction Goodlettsville www.teenchallengenashville.com
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(423) 296-6451 Tennessee Community Counseling S Treatment and Insurance for Addiction Chattanooga www.tennesseecommunitycounseling.com
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(423) 613-4350 Tennessee Community Health Servs Treatment and Insurance for Addiction Newport www.tncommunityhealth.com
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(931) 685-0957 Tony Rice Center For Men Treatment and Insurance for Addiction Shelbyville www.tonyricecenter.com
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(615) 327-4751 VA Tennessee Valley Healthcare S Treatment and Insurance for Addiction Nashville www.tennesseevalley.va.gov
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(615) 327-7000 Vanderbilt Addiction Center Vand Treatment and Insurance for Addiction Nashville www.mc.vanderbilt.edu/addiction
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(615) 225-3963 Veterans Affairs Medical Center Treatment and Insurance for Addiction Murfreesboro www.tennesseevalley.va.gov
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(615) 666-8070 Volunteer Behavioral Healthcare Treatment and Insurance for Addiction Lafayette www.vbhcs.org
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(931) 484-8020 Volunteer Behavioral Healthcare Treatment and Insurance for Addiction Crossville www.vbhcs.org
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(423) 479-0353 Volunteer Behavioral Healthcare Treatment and Insurance for Addiction Cleveland www.vbhcs.org
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(423) 570-0077 Volunteer Behavioral Healthcare Treatment and Insurance for Addiction Dayton www.vbhcs.org
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(615) 898-0771 Volunteer Behavioral Healthcare Treatment and Insurance for Addiction Murfreesboro www.vbhcs.org
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(423) 265-3122 Volunteer Treatment Center Inc Treatment and Insurance for Addiction Chattanooga www.crchealth.com
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(731) 988-5251 Youth Town of TN Inc Treatment and Insurance for Addiction Pinson www.youthtown.net
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Buprenorphine

Buprenorphine is a partial agonist of opioid receptors that carries a low risk of overdose. Buprenorphine reduces or eliminates withdrawal symptoms associated with opioid dependence but does not produce the euphoria and sedation caused by heroin or other opioids. In 2000, Congress passed the Drug Addiction Treatment Act, allowing qualified physicians to prescribe Schedule III, IV and V medications for the treatment of opioid addiction. This bill created a major paradigm shift that allowed access to opioid treatment in general medical settings, such as primary care offices, rather than limiting it to specialized treatment clinics. Buprenorphine was the first medication approved under the Drug Addiction Treatment Act and is available in two formulations: Subutex®, which is a pure form of buprenorphine and the more commonly prescribed Suboxone®, which is a combination of buprenorphine and the opioid antagonist naloxone. Suboxone is a unique formulation with naloxone that causes severe withdrawal symptoms when addicted individuals inject it to get high. Physicians who provide buprenorphine treatment for detoxification and or maintenance treatment in office must have special accreditation. The government requires these physicians to have the capacity to provide counseling to patients when indicated or to refer patients to those who do. Treatment of opioid addiction in an office can be cost-effective approach that increases the reach of treatment and the options available to patients. Many patients have life circumstances that make treatment in the office of a physician a better option for than specialty clinics. For example, a recovering addict may live far away from a treatment center or have working hours incompatible with the clinic hours. Addiction treatment is available in the office of a primary care physician, psychiatrist and other specialists, such as internists and pediatricians. Patients stabilized on adequate, sustained dosages of methadone or buprenorphine can function normally. Recovering addicts can hold jobs, avoid the crime and violence of the street culture and reduce exposure to HIV by stopping or decreasing injection drug use and other risky sexual behavior. Patients stabilized on medications can also engage more readily in counseling and other behavioral interventions essential to recovery and rehabilitation.

Keloids

A keloid is a type of hypertrophic scar. Keloids are made up of type I (and some type III) collagen that results in an overgrowth of tissue at the site of a healed skin injury. Keloids are firm, rubbery lesions or shiny, fibrous nodules and can vary from pink to flesh-colored or red to dark brown in color. A keloid scar is benign, non-contagious and usually accompanied by severe itchiness, sharp pains and changes in texture. In severe cases, it can affect movement of skin. Keloids expand in claw-like growths over normal skin. They have the capability to hurt with a needle-like pain or to itch without warning, although the degree of sensation varies from patient to patient.

Skin Conditions

Here is a glossy of terms for skin conditions. Atrophic means thin. Wrinkled and blistered skin is fluid-filled. Bumps and crust or scabs indicate the formation of dried blood, pus or other skin fluid over a break in the skin. A cyst is a deep lesion that contains pus. Excoriation is a hollowed-out or linear area covered by a crust. Hives or wheals entail a pink swelling of the skin. Lichenification describes skin that has thickened. A macule is a smaller version of a patch or a flat discolored spot. A nodule or papule is a solid, raised bump. Raised bumps describe bumps that stick out above the skin surface whereas a patch is flat, and discolored. A pustule refers to a pimple, which is an inflamed lesion that looks like a pink bump. Scales are dead skin cells that appear as flakes or dry skin. A scar is fibrous tissue that has formed after a skin injury.