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FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Atlantic County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000275 John Brooks Recovery Center 660 Black Horse Pike Pleasantville, NJ 08232 Email: [email protected] Phone: (609) 345-2020 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000637 John Brooks Recovery Center - OTP Bacharach Blvd. 1931 BACHARACH BLVD. ATLANTIC CITY, NJ 08401 Email: [email protected] Phone: (609) 345-2020 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Bergen County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000321 Team Management 2000, Inc. 84 Main Street Hackensack, NJ 07601 Email: [email protected] Phone: (201) 487-4700 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Camden County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000084 Medical 7980 S CRESCENT BLVD (RT. 130 PENNSAUKEN, NJ 08109 Email: [email protected] Phone: (856) 665-5100 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000218 Hispanic Family Center of Southern 2700 WESTFIELD AVE CAMDEN, NJ 08105 Email: [email protected] Phone: (856) 365-7393 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000198 SODAT of NJ, Inc. Camden Office 805-815 FEDERAL STREET CAMDEN, NJ 08101 Email: [email protected] Phone: (856) 964-5000 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Camden County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000491 STAND4RECOVERY PROGRAM 316 HADDON AVE COLLINGSWOOD, NJ 08108 Email: [email protected] Phone: (856) 240-1417 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000463 Unity Place Program, LLC 1 Keystone Avenue Cherry Hill, NJ 08003 Email: [email protected] Phone: (856) 424-4142 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000459 Urban Treatment Associates, Inc. 808 Market Street Camden, NJ 08102 Email: [email protected] Phone: (856) 338-1811 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Camden County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000465 Urban Treatment Associates, Inc. 808 MARKET ST, BASEMENT LEVEL CAMDEN, NJ 08101 Email: [email protected] Phone: (856) 225-0505 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Essex County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000136 East Orange Substance Abuse Treatment Program 110 S. Grove Street East Orange, NJ 07018-2693 Email: [email protected] Phone: (973) 266-5200 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000025 Family Service Bureau of Newark 274 South Orange Ave Newark, NJ 07103 Email: [email protected] Phone: (973) 286-2821 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000050 Integrity House Academy 1091-1093 BROAD ST NEWARK, NJ 07114 Email: [email protected] Phone: (973) 623-0600 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Essex County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000333 Integrity, Inc. 26-28 LONGWORTH ST NEWARK, NJ 07102 Email: [email protected] Phone: (973) 623-0600 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000546 New Directions Behavioral Health Center 9 LINCOLN PARK NEWARK, NJ 07102 Email: [email protected] Phone: (973) 242-6599 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000054 Team Management 2000, Inc. CBO 972 BROAD STREET NEWARK, NJ 07102 Email: [email protected] Phone: (973) 273-0425 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Essex County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000689 The Appropriate Place, Inc. 660 S. 21ST STREET IRVINGTON, NJ 07111 Email: [email protected] Phone: (862) 253-1104 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000196 The Lennard Clinic, Inc. 461 Frelinghuysen Avenue Newark, NJ 07114 Email: [email protected] Phone: (973) 596-2850 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000249 The Wise Program 659 MARTIN LUTHER KING BLVD NEWARK, NJ 07102-1119 Email: [email protected] Phone: (973) 623-0600 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Essex County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000288 Turning Point, Inc. 15 BLOOMFIELD AVE VERONA, NJ 07044 Email: [email protected] Phone: (973) 239-9400 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Gloucester County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000403 The Wounded Healer Inc., dba My friends House Family Counseling Services 371 Glassboro Road Woodbury Heights, NJ 08097 Email: [email protected] Phone: (856) 669-6900 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Hudson County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000071 C-LINE COMMUNITY OUTREACH 110 MARTIN LUTHER KING DRIVE JERSEY CITY, NJ 07305 Email: [email protected] Phone: (201) 200-1965 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000511 C-Line Counseling Center 680 BROADWAY PATERSON, NJ 07509 Email: [email protected] Phone: (973) 782-4828 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000452 Family Service Bureau of Newark: Kearny Program 379 KEARNY AVE KEARNY, NJ 07032 Email: [email protected] Phone: (973) 412-2056 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Hudson County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000613 Integrity, Inc. 30-32 CENTRAL AVENUE JERSEY CITY, NJ 07306 Email: [email protected] Phone: (201) 617-2757 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000154 Integrity, Inc. 595 COUNTY AVE SECAUCUS, NJ 07094 Email: [email protected] Phone: (201) 583-7100 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000530 Integrity, Inc. 360-398 MARTIN LUTHER KING DRIVE JERSEY CITY, NJ 07305 Email: [email protected] Phone: (973) 623-0600 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Hudson County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000142 Spectrum Health Care, Inc. 74-80 Pacific Ave. Jersey City, NJ 07304-3216 Email: [email protected] Phone: (201) 860-6100 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Hunterdon County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000518 Freedom House 2004 ROUTE 31, NORTH CLINTON, NJ 08809 Email: [email protected] Phone: (908) 617-5765 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Mercer County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000345 New Horizon Treatment Services, Inc. 132 Perry Street Trenton, NJ 08618 Email: [email protected] Phone: (609) 394-8988 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000078 New Horizon Treatment Services, Inc., Gryphon House 144 PERRY STREET TRENTON, NJ 08618 Email: [email protected] Phone: (609) 394-8988 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000107 Rescue Mission of Trenton 72 EWING ST TRENTON, NJ 08609 Email: [email protected] Phone: (609) 396-2183 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Middlesex County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes SITE LICENSE # 2000163 The Center for Great Expectations 303 GEORGE ST, 1ST FLOOR NEW BRUNSWICK, NJ 08901 Email: [email protected] Phone: (732) 993-6403 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Monmouth County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000336 Epiphany House 1110 GRAND AVE ASBURY PARK, NJ 07712 Email: [email protected] Phone: (732) 775-0720 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000490 Habit Opco, Inc. d/b/a Central Jersey Comprehensive Treatment Center 111 HIGHWAY 35, SUITE 7 CLIFFWOOD, NJ 07721 Email: [email protected] Phone: (732) 727-2555 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Morris County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000635 Integrity, Inc. 415 SPEEDWELL AVENUE MORRIS PLAINS, NJ 07950 Email: [email protected] Phone: (973) 623-6000 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000423 Morris County Aftercare Center 273 East Main Street Denville, NJ 07834 Email: [email protected] Phone: (973) 927-6641 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Ocean County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000631 Integrity House 310 MAIN STREET TOMS RIVER, NJ 08753 Email: [email protected] Phone: (973) 623-6000 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000323 Seashore Family Services of New Jersey 35 BEAVERSON BLVD., BUILDING 6 BRICK, NJ 08723 Email: [email protected] Phone: (732) 920-2700 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000351 Seashore Family Services of New Jersey 226 MAIN ST TOMS RIVER, NJ 08753 Email: [email protected] Phone: (732) 244-1600 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Passaic County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000347 Eva's Village , Inc. 16 SPRING STREET PATERSON, NJ 07501 Email: [email protected] Phone: (973) 523-6220 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000108 Paterson Counseling Center, Inc. 319-321 Main St Paterson, NJ 07505-1805 Email: [email protected] Phone: (973) 523-8316 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000176 Straight & Narrow, Inc. 230 E RIDGEWOOD AVE PARAMUS, NJ 07652 Email: [email protected] Phone: (201) 967-9020 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Passaic County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000308 Straight and Narrow Outpatient Clinic 508 Straight St Paterson, NJ 07503-3044 Email: [email protected] Phone: (973) 345-6000 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes

Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes SITE LICENSE # 2000642 Turning Point, Inc. 680 Broadway, Suite 104 Paterson, NJ 07514 Email: [email protected] Phone: (973) 239-9400 VIVITROL STATUS: Approved OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes FFS Network Providers Approved for Ambulatory Medication Assisted Treatment Initiative as of 10/15/2019 Union County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000304 Organization for Recovery, Inc. 519 North Ave Plainfield, NJ 07060 Email: [email protected] Phone: (908) 769-4700 VIVITROL STATUS: Not Interested OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes Yes APPROVED Levels of Care for MATI Amb Yes

Warren County Clinical Review COOC Medically Assisted Treatment Recovery Support Medical Services Interim Services Yes Yes Yes Yes Yes Yes SITE LICENSE # 2000082 Warren Medical Services 590 MARSHALL ST PHILLIPSBURG, NJ 08865 Email: [email protected] Phone: (908) 387-0003 VIVITROL STATUS: No Application OP IOP PC AWM MOP STR LTR HH IWM LICENSED Levels of Care Yes Yes APPROVED Levels of Care for MATI Amb Yes