Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 25 - Bureau of Alcohol and Drug Abuse Prevention › Rule 007.25.95-003 - Licensure Standards Manual for Substance Abuse/Addiction Treatment Programs

Current through Register Vol. 49, No. 6, June, 2024
The Bureau of Alcohol and Drug Abuse Prevention (ADAP)
				developed this Manual to help clarify the various elements of the Licensure
				process. This manual is to be used as the measurement tool to determine
				compliance with the Licensure Standards for Alcohol and Drug Abuse Treatment
				Programs in Arkansas. As pointed out in these standards, the passage of Act 644
				of 1977, by the Arkansas State Legislature, created the Office on Alcohol and
				Drug Abuse Prevention (ADAP). Furthermore, Act 597 of 1989 delegated the ADAP
				as the sole agency responsible for accrediting all alcohol and/or other drug
				treatment programs. Duties and responsibilities included, in part, the
				development and promulgation of standards, rules and regulations for licensure
				of alcohol and drug abuse prevention, treatment and rehabilitation
				programs/facilities within the State. In 1995, Act 173 changed the
				Accreditation process to a Licensure process.
It was in response to state and federal legislation, as well as
				to the changing needs of the alcohol and drug abuse treatment programs and the
				public at large, that the accreditation standards were implemented. The
				standards were adopted and implemented on January 1, 1983 and a revised manual
				was put into effect on September 1, 1989. Those standards, remained in effect
				until the adoption of this Licensure Manual effective July !, 1995.
This Licensure Standards Manual is to be used as a guide to the
				Licensure process and includes the Procedures for Licensure, the Licensure
				Standards Questionnaire, and the Supplemental Administrative Questionnaire. The
				purpose of the licensure review is to determine the extent of compliance with
				those minimal standards by the program being reviewed.
ABSTRACT
Two documents constitute the Licensure Standards Manual for
				Substance Abuse Treatment Programs in Arkansas. Those two documents are:
(1) The Licensure Manual; and
(2) Application for Licensure.
The Application for Licensure is completed by the treatment
				program prior to the on-site visit.
The Licensure Standards Manual consists of three major
				sections. Those sections are:
(1)
			 Procedures for Licensure;
(2)
			 Licensure Standards Questionnaire; and the
(3) Supplemental Administrative Questionnaire
			 (to be used in reviewing non-medically based private-for-profit programs).
The Procedures for Licensure is used as a guide to the
				Licensure Process. It explains the process for treatment programs in the State
				of Arkansas and for the Standards Review Team.
The Licensure Standards Review Questionnaire is used as the
				measurement tool to determine the program's level of compliance as well as
				being the document describing the Licensure Standards.
The Supplemental Administrative Questionnaire replaces Part
				I, Sections A through D of the
				Standards Review Questionnaire. It is to be used in reviewing programs that are
				not licensed for Substance Abuse Services by the Arkansas Department of Health,
				Bureau of Health Resources ( for Hospital based programs), or Accredited for
				Substance Abuse Services by the Joint Commission for the Accreditation of
				Health Care Organizations (JCAHO), or Accredited for Substance Abuse Services
				by the Commission for the Accreditation of Rehabilitation Facilities (CARF).
				Programs administered by the Department of Defense and/or the Veterans
				Administration are not required to be licensed by the ADAP, but may voluntarily
				seek licensure. Programs certified by the Arkansas Department of Human
				Services, Division of Mental Health Services (DMHS), and providing alcohol
				and/or other drug abuse treatment services, will be considered licensed
				provided that the ADAP is involved in the DMHS certification review. The ADAP
				participation in the DMHS reviews will focus on the substance abuse services
				provided by the program under review.
The above documents were revised from the Standards in effect
				January 1, 1983 and September 1, 1989. Beginning on June 30, 1994 the standards
				were revised and put into this present edition and format. This present edition
				was promulgated for implementation on July 1, 1995.
PROCEDURES FOR LICENSURE
Licensure of an alcohol or drug abuse treatment program is
				required of any such organization which is operating or seeking to operate a
				program in the State of Arkansas. Upon implementation of the standards, the
				ADAP will provide to each of the programs, known to be operating within
				Arkansas, a Licensure Standards Manual. In order to provide for an even
				distribution of the reviews of the programs, the ADAP will contact the
				Executive Director of each of the programs.
A schedule for the entire licensure process will be developed
				by mutual cooperation for each program. For those programs certified with the
				Division of Mental Health Services, the schedule will be developed in
				cooperation with that Division. The entire licensure process for a program is
				shown below, with explanatory comments following.
Step 1
- Program notified by ADAP of
				upcoming Licensure Review and need to complete Application for
				Licensure.
Step 2
- Receipt by ADAP of program's
				completed Application for
Licensure and payment of the $250.00 application fee.
Step 3
- Development of the schedule
				and requirements for the review of the program; and
Step 4
- Review of pertinent
				information received from the program by the
ADAP. If necessary, review of any additional information
				requested following the initial review of Step 3.
Step 5
- Written confirmation and
				notification by the ADAP to include:
(a) timetable developed in Step 1;
(b) members of the Standards Review Team for
			 that program; (see Standards Review Team Member Selection Process);
(c) and costs (e.g., fees) to the program for
			 the Accreditation Survey Process (when applicable).
Step 6
- Submission to the ADAP, by
				the program, of the $1,500 Licensure
Review fee.
Step 7
- Formal on-site review by the
				ADAP Standards Review Team.
Step 8
- Report by ADAP Standards
				Review Team and recommendations to
ADAP Treatment Services Director.
Step 9
- Formal report to the program
				with the type of license awarded,
findings, and recommendations of the ADAP Standards Review
				Team.
Step 10
- (When applicable) responses
				to program's appeal and/or scheduling of Licensure follow-up review.
STANDARDS REVIEW
				TEAM
The members of the Standards Review Team for each program will
				consist of members who participate in the formal on-site review. The Standards
				Review Team will be composed of representatives from:
(#
of Voting
				Members)
Organization
2 (a) The ADAP One member will be designated as "team
				leader."
1 (b) Administrative/Director from another treatment facility
				(as selected by the ADAP Treatment Services Director).
1 (c) Counselor/Clinician from another treatment facility (as
				selected by the ADAP Treatment Services Director).
(d) Other representatives as deemed appropriate by the ADAP
				Treatment Services Director.
The program to be reviewed will be notified prior to the
				on-site visit as to the composition of its Standards Review Team. I£ for
				a valid reason, the program objects to a particular team member, a different
				member can be selected by the ADAP Treatment Services Director.
The minimum requirements for the Administrator/Director from
				another treatment program are:
(a) A
			 minimum of Two (2) years experience in their current position.
(b) Currently employed by a program
			 accredited by ADAP, with no current serious administrative
			 deficiencies.
(c) Not be a former
			 employee or client of the program to be reviewed.
(d) Not be currently employed by a program
			 that operates in the same ADAP catchment area as the program under review
			 and/or in competition with the program for funding.
The minimum requirements for the Counselor/Clinician from
				another treatment program are:
(a)
			 Qualification as a Certified Substance Abuse Counselor (CSAC).
(b) Be currently employed in a
			 clinical/counseling capacity with a minimum of two (2) years
			 experience.
(c) Currently employed
			 by a facility accredited by ADAP with no current serious clinical/client care
			 deficiencies.
(d) Not be in
			 violation of counselor ethics or be under investigation for violation of
			 counselor ethics.
(e) Not be a
			 former employee or client of the program under review.
(f) Not be employed by a program that
			 operates in the same ADAP catchment area as the program under review, or be in
			 competition with the program for funding.
OTHER ISSUES REGARDING LICENSURE
ADOLESCENT TREATMENT PROGRAMS
Whenever Alcohol and/or other Drug Abuse Treatment Programs
				seek licensure under the Department of Human Services - Division of Children
				and Family Services (DCFS), the ADAP, whenever feasible, will coordinate with
				DCFS to provide for a DCFS Standards Review Team (SRT) member. If DCFS
				representation on the Licensure Standards Review is not feasible, then the
				program seeking licensure under DCFS regulations will submit to those processes
				mandated by DCFS.
Program Commencing Operations After July 1,
				1995
Prior to the actual provision of alcohol and/or drug abuse
				treatment services, the program seeking licensure, and/or required to receive a
				licensure review, will complete all steps specified in the application process.
				If the program seeking licensure has not yet provided treatment services, the
				standards listed on page NA-1 are non-applicable during the initial review. If
				the program under review meets the required level of compliance that are
				applicable, at the time of initial review, the SRT can recommend a six (6)
				month provisional license. No later than six (6) months after the according of
				the provisional license, a follow-up review will be performed to determine the
				program's level of compliance with all applicable standards, including those
				listed on page NA-1. If the program under review meets the necessary level of
				compliance, then the SRT can recommend licensure in line with the levels of
				licensure specified in this manual.
Methadone and LAAM Dispension
Any program in Arkansas that intends to dispense Methadone
				and/or LAAM must meet the standards set forth in this manual and those
				standards found in the
Methadone/LAAM Maintenance Treatment Program
				Standards
. The licensure review and the Methadone Standards review
				can be performed at the same time.
Accreditation Under Previous
				Standards
All programs currently accredited by the ADAP prior to the
				implementation of the licensure standards will be considered as licensed. The
				scheduling of a program's licensing review will not change.
ON-SITE REVIEW
The formal on-site review will be made by at least two (2) ADAP
				staff and representatives of organizations previously specified. Minimally, the
				ADAP shall triennially, with a six-month extension period, inspect the
				facilities and review the policies and procedures utilized by each program. The
				examination and review will include case record audits, program record audits,
				and interviews with staff and clients (in accordance with confidentiality
				standards).
The on-site review will be made in order to verify information
				previously submitted and to allow an opportunity for the on-site members of the
				Standards Review Team to review the program from that perspective. The length
				of the on-site review will vary with the size and complexity of the
				program.
Prior to the exit interview, there will be a meeting of the
				Standards Review Team members. In this meeting, each member will present his
				findings on the area(s) assigned him/her. This is to include areas considered
				as strengths, weaknesses, deficiencies and/or in non-compliance, as well as
				his/her decision about each item of the Standards as found in the part(s) of
				the questionnaire assigned to him/her.
Following the presentation of all of the team members and the
				discussionsof the findings, a composite questionnaire will be completed which
				will reflect the final decision for each item of the questionnaire. This
				composite will then be used to determine the type of accreditation recommended
				by the Standards Review Team, as per majority vote.
EXIT INTERVIEW
After the above meeting, the Standards Review Team will meet
				(exit interview) with the Executive Director, Program Director, and the
				President of the Program's Governing Authority.
During this meeting, the team members will present the review
				findings and the type of licensure to be recommended for the program. The
				purpose of this meeting will be to discuss and clarify the findings and
				recommendations with full opportunity for the exchange of additional
				information in rebuttal of any adverse findings and/or recommendations noted by
				the team members. Based upon the discussion and clarification in the above
				meeting, the Standards Review Team will determine if changes are necessary in
				their findings and/or recommendations and to make those changes as
				indicated.
After the Executive Exit Interview, an exit interview will be
				held with the Executive Director, Governing Authority and appropriate staff for
				the purpose of summarizing the Licensure Standards process, findings of the
				Review, and to make appropriate recommendations for correction of non-compliant
				standards and/or to make recommendations for program improvements. It should be
				noted that 25% of the Governing Authority and/or the Governing Authority's
				entire Executive Committee
must
be present during this
				exit interview.
In addition to the Licensure Review, the ADAP will, at least
				annually, perform a client record (case) review, a billing-to-services review
				(for ADAP funded Programs) and a Title XX Review (for those Programs receiving
				Title XX Substance Abuse Treatment funds). The ADAP shall also conduct at least
				one unannounced review annually. The unannounced review will focus on those
				areas in which the licensed program has had difficulty maintaining compliance
				with the standards and/or to review complaints filed against the program.
				Programs licensed to dispense Methadone and/or LAAM will receive an unannounced
				review at least quarterly. The primary purpose of the unannounced reviews at
				the Methadone/LAAM programs is to determine the program's ongoing compliance
				with Methadone/LAAM specific standards. In addition, the ADAP will periodically
				contact the clients of Methadone/LAAM programs to aid in the determination of
				compliance with Methadone/LAAM specific standards.
The ADAP reserves the right to revoke the license of any
				program found to not be in compliance with the standards. The ADAP also
				reserves the right to conduct a full, licensure review prior to the expiration
				of the program's current license.
LICENSURE REPORT
Following the on-site review, each team member will submit to
				the team leader a formal written report within fifteen (15) working days after
				the last day of the on-site review. This report should follow the outline
				below:
(1) Program reviewed;
(2) Date(s) on-site review;
(3) Name of team member and organization
			 represented;
(4) Area(s) reviewed
			 by team member;
(5) Findings to
			 include areas considered as strengths, weaknesses, deficiencies, and/or in
			 non-compliance, recommendations for improvement; and
(6) Recommendation for type of licensure to
			 be awarded program based upon the questionnaire completed by team member and
			 which'is to be attached to the written report.
Within thirty (30) working days of the last day of the on-site
				review, a formal written report will be written by the team leader and
				forwarded with the licensure notice and the composite completed questionnaire
				to the program.
This time frame should be maintained even if all materials from
				the team members have not been received. In that event, the team leader will
				write the formal report based upon materials available.
Based upon these reports and recommendations, the ADAP Director
				of Treatment Services shall award the program the appropriate type of
				licensure.
TYPES OF LICENSE
THREE-YEAR
LICENSE
Three-year License will be awarded when a program has complied
				with all applicable mandatory standards and at least 80% of all other
				standards.
ONE-YEAR
LICENSE
One-year License will be awarded when a program has complied
				with all applicable mandatory standards and 70%-79% of all other applicable
				standards.
SIX MONTH (Provisional) LICENSE
A Six Month License can be accorded to currently accredited or
				licensed programs that do not meet the criteria necessary for a one or three
				year license. The six month period is provided to allow the program time to
				make efforts to bring those failed standards into compliance that would allow a
				one or three year license. A follow up review will be performed at the end of
				the six month period and if the program fails to" meet the level of compliance
				that would allow a one or three year license, then the program will not be
				allowed to operate as a substance abuse/addiction treatment program. The
				program can request that the follow up review be performed prior to the end of
				the six month period.
A six month license can also be accorded to a program as
				specified under "Programs Commencing Operations after July 1, 1995" previously
				addressed in this manual.
NON-LICENSED
Programs receiving a non-licensed status will not be eligible
				for funding through ADAP or through funding sources which requires licensure by
				ADAP. Also, programs that receive a non-licensed status will not be allowed to
				operate as an alcohol and/or other drug abuse treatment facility in the State
				of Arkansas.
APPEAL PROCESS
If, for any reason, a program does not agree with the licensure
				decision, the program may appeal as follows: Written notification must be
				received by the Chairperson of the ADAP Authority, Freeway Medical Center,
				Suite 907, 5800 West 10th Street, Little Rock, Arkansas 72204, postmarked
				within twenty (20) working days after the formal decision of the Director of
				Treatment Services has been mailed to the program. The Chairperson of the ADAP
				Authority will then include this appeal on the agenda for the next regularly
				scheduled meeting of said Authority. Representatives of the program will meet
				with that Authority to discuss the points in question. The ADAP Authority will
				notify the ADAP in writing of their decision within fifteen (15) working days
				of that meeting. The ADAP Director shall notify the program of the Authority's
				final decision within ten (10) working days.
NON-APPLICABLE STANDARDS FOR INITIAL REVIEW FOR PROVISIONAL
				LICENSURE
I-A-5-b
I-B-a
I - C-l-c
I - C-2
I - C-3
I - C-5-a thru c
I - C-6-a thru d I-D-3 I-D-9
I_D-14-bthrud IE - A-3-a thru m n - a-4
H - A-5 H-A-6
n-B-i n-B-2 n-B-3
II - B-4-a thru e H - B-5-a thru d n-B-6 n-c-i n-c-2 n-c-3
				n-c-4 n-c-5 n-c-7
n-D-l-athruj n - d-2 n - d-3 n-D-4
II - D-5-a thru d n-D-6 n - d-7 n - d-8
II-E-l-a thrum
E-E-6
H-F-4
E - G-2-a thru e
H - M-l-b n - M-2-a thru c
LICENSURE STANDARDS QUESTIONNAIRE
PART I
				(MANAGEMENT AND ADMINISTRATION COMPONENT)
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SUPPLEMENTAL ADMINISTRATIVE QUESTIONNAIRE
STANDARDS FOR PRIVATE-FOR-PROFIT (NON-MEDICAL MODEL
				PROGRAMS)
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DEFINITIONS
(Relative to ADAP Licensure Standards)
Admission
The point in an alcohol or
				drug abuser's relationship with the program at which the intake process has
				been completed and the individual is entitled to receive services.
Affiliation Agreement
A written
				agreement between the governing authority of the program and another
				organization under the terms of which specified services, space and/or
				personnel are provided to one organization by the other, but without exchange
				of moneys.
Aftercare
The component of the
				treatment program which assures the provision of continued contact with the
				client following the termination of services from a primary care modality,
				designed to support and to increase the gains made to date in the treatment
				process. Aftercare plan development should start prior to discharge but is not
				implemented until discharge.
Alcohol and/or Drug Abuser/Addict
An
				abuser is a person who voluntarily uses alcohol or other drugs in such a way
				that his or her social or economic functioning is disrupted. An addict is a
				person who is physically and/or psychologically dependent on alcohol and/or
				other drugs and has little or no control over the amounts consumed, leading to
				substantial health endangerment, and/or social functioning disruption and/or
				economic functioning disruption.
Applicant
Any individual who has
				applied for admission to a program but is not yet admitted to the
				program.
Assessment
The process of collecting
				significant data to enable evaluation of an individual's strengths, weaknesses,
				problems and needs so that a treatment plan can be developed.
Certified Substance Abuse Counselor
An
				individual recognized by the Arkansas
Substance Abuse Certification Board as being a Certified
				Substance Abuse Counselor.
Client
An individual who has an
				alcohol or drug abuse problem, for whom intake procedures have been completed,
				and who is admitted to the program.
Counselor
An individual who, by virtue
				of education, training or experience, provides treatment, which includes
				advise, opinion, or instruction to an individual or in a group setting to allow
				opportunity for a person to explore his or her problems related directly or
				indirectly to alcohol and/or drug abuse or dependence.
Day-Treatment
The process of providing
				treatment services in a partial (less than twenty-four hours) residential
				setting and consisting of at least four and one-half (4 1/2) hours of
				structured treatment daily.
Detoxification
The withdrawal of a
				person from a physiologically addicting substance.
Documentation
Provision of written,
				dated and authenticated evidence (signed by person's name and title) to
				substantiate compliance with standards, e.g., minutes of meetings, memoranda,
				schedules, notices, announcements.
Emergency Admission
An admission that
				does not meet the intake process due to the extreme nature of the circumstances
				involved.
Emergency Care
A network of services
				that provides all persons having acute problems related to alcohol and/or drug
				use and abuse readily available diagnosis and care, as well as appropriate
				referral for continuing care after emergency treatment.
Executive Director
The individual
				appointed by the governing authority to set in its
(his/her) behalf in the overall management of the alcohol or
				drug abuse treatment program.
Fiscal Management System
Procedures
				that provide management control of the financial aspects of program operations.
				Such procedures include cost accounting, program budgeting, materials
				purchasing, and client billing standards.
Follow-Up
The process of determining
				the status of an individual at a determined point in time past
				discharge.
Governing Authority
That person or
				persons with the ultimate authority and responsibility for the overall
				operation of the program.
Inpatient Care
The process of
				providing care to persons who require twenty-four hour supervision in a
				hospital or other suitably equipped medical setting as a result of acute or
				chronic medical and/or psychiatric illness associated with alcohol and/or drug
				abuse.
Intake
The process of collecting and
				assessing information to determine the appropriateness of admitting or
				retaining an individual in an alcohol or drug abuse treatment program.
May Term in the interpretation of a standard to reflect an
				acceptable method that is recognized but not necessarily preferred.
Outpatient Program
A non live-in
				program offering treatment or rehabilitation services to alcohol or drug
				abusers on a scheduled or non-scheduled basis.
Primary Care Modality
All components
				of the treatment program, excluding aftercare.
Program
An individual, partnership,
				corporation, association, government subdivision or public or private
				organization.
Program Component
A category into
				which a specific group of interrelated services can be classified, e.g.,
				outpatient care.
Progress Note
That portion of the
				client's case which describes the progress of the client and his (her) current
				status in meeting the goals set in the treatment plan, as well as describing
				the efforts of staff members to help the client achieve those stated goals.
				Progress notes also include documentation of those events and activities
				related to the client's treatment.
Outreach. Public Education and
				Information
The dissemination of relevant information specifically
				aimed at increasing the awareness, receptivity, and sensitivity of the
				community and stimulating social action to increase the services provided for
				people with problems associated with the use of alcohol and/or drugs. It also
				includes the process of reaching into a community systematically for the
				purpose of identifying persons in need of services, alerting individuals and
				their families as to the availability of services, locating additional
				services, and enhancing the entry into the service delivery system.
Referral Agreement
A written document
				defining a relationship between the program and an outside resource for the
				provision of client services not available within the alcohol or drug abuse
				treatment program.
Rehabilitation
The restoration of a
				client to the fullest physical, mental, social,
vocational and economic usefulness of which he or she is
				capable. Rehabilitation may include, but is not limited to, medical treatment,
				psychological therapy, occupational training, job counseling, social and
				domestic rehabilitation and education.
Residential Program
A twenty-four
				hour, non-medical, live-in facility offering treatment and rehabilitation
				services to facilitate the alcohol or drug abuser's ability to live and work in
				the community.
Shall
Term used to indicate a
				mandatory statement, the only acceptable method under the present
				standards.
Should
Term used in the interpretation
				of a standard to reflect the commonly accepted method, yet allowing for the use
				of effective alternatives.
Staff
Any individual who provides
				services to the program on a regular basis as a paid employee or as a
				volunteer.
Standards
Specifications representing
				the minimal characteristics of an alcohol or drug abuse treatment program which
				are acceptable for the accreditation of a program.
Substance Abuse Treatment
A process
				whereby services are provided to an individual with the intent of the cessation
				of harmful or addictive use of alcohol and/or other drugs. Treatment must
				include, but should not be limited to, counseling. Treatment promotes the
				ultimate goal of the individual reaching their fullest physical, mental,
				social, vocational and economic capabilities possible.
Treatment Plan
A written plan
				developed after assessment, which specifies the goals, activities and services
				appropriate to meet the objective needs of the client.
Treatment Program
Any program that
				delivers alcohol and/or drug abuse services to a defined client
				population.
Treatment Staff
That group of
				personnel of the alcohol or drug abuse treatment program which is directly
				involved in client care or treatment.
Update
A dated and signed review of a
				report, plan or program with or without revision.
Working Agreement
A written contract,
				letter of document, or other document that defines the relationship between a
				program and an outside resource.
ARKANSAS DEPARTMENT OF HEALTH
BUREAU OF
ALCOHOL AND DRUG ABUSE PREVENTION
APPLICATION FOR LICENSURE
FOR
ALCOHOL AND / OR DRUG ABUSE TREATMENT PROGRAMS
July 1, 1995
ABSTRACT
Two documents constitute the Licensure Standards Manual for
				Alcohol and Other Drug Abuse Treatment Programs in Arkansas,
Those two documents are:
(1) The Licensure Manual; and
(2) Application for Licensure.
The Application for Licensu're is completed by the treatment
				program prior to the on-site visit.
The Licensure Standards Manual is comprised of three major
				sections.
Those sections are:
(1) Procedures for Licensure;
(2) Licensure Standards Questionnaire; and
			 the
(3) Supplemental Administrative
			 Questionnaire (to be used in reviewing non-medically based private-for-profit
			 programs).
The Procedures for Licensure is used as a guide to the
				Licensure Process. It explains the process for treatment programs in the State
				of Arkansas and for the Standards Review Team.
The Standards Review Questionnaire is used as the measurement
				tool to determine the program's level of compliance as well as being the
				document describing the Standards. The Supplemental Administrative
				Questionnaire replaces Sections A through D of the Standards Review
				Questionnaire. It is to be used in reviewing programs that are not licensed by
				the Arkansas Department of Health, Bureau of Health Resources or certified by
				the Division of Mental Health Services, or accredited by the Joint Commission
				on the Accreditation Healthcare Organizations, or Accredited by the Commission
				for the Accreditation for Rehabilitation Facilities or the Department of
				Defense or Veterans Administration, and does not hold an IRS non-profit
				status.
The above documents were revised from the Standards in effect
				since January 1, 1983 and again revised on September 1, 1989. Beginning in
				January 1994 the standards were revised and put into this present edition and
				format. This present edition was promulgated for implementation on July 1,
				1995.
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Bureau of Alcohol and Drug Abuse Prevention
Division of Treatment Services
Freeway Medical Center, Suite 907
5800 West 10th Street
Little Rock, Arkansas 72204
(501) 280-4500