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MIR Provider Information for Quote and Integration Plan
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Program Name
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Your Name
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Your Phone Number and Email address
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Program Location/s
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Types of Treatment Offered
Residential
PHP
Sober Living
IOP
Other Outpatient
Continuing Care
Other
For each program, please list the average length of treatment and program structure. (learn about their programs, types of groups, how many per day/week.
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What are the main treatment modalities you provide? 12 step, CBT, DBT, ACT, trauma, etc.
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Size of your program - how many clients can you treat?
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Do you have multiple locations? How many and where are they located?
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Number of staff. Staff that provide direct therapeutic services, such as therapists, counselors, peer recovery specialists, techs, or others that run groups.
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How many staff do you foresee getting trained in MIR?
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Do you have any specific questions at this time?
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