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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Dual Diagnosis Treatment Centers Near You

Dual diagnosis treatment addresses co-occurring mental health and substance use disorders simultaneously. Find integrated treatment centers providing comprehensive care for lasting mental health and addiction recovery.

Found 8,517 rehab centers specializing in dual diagnosis across the United States.

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Browse dual diagnosis treatment centers below. All listed facilities treat co-occurring mental health and substance use disorders with integrated care.

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Orchard on the Brazos Recovery

Situated in Wallis, TX, Orchard on the Brazos Recovery delivers a wide array of addiction recovery services targeted at both adults and young adults. The center provides detox programs, addiction therapy, and focused support for co-occurring substance use disorders and serious mental health challenges in adults, as well as emotional issues in children. Treatment modalities available include intensive outpatient care, long-term residential options, and outpatient services. Orchard on the Brazos Recovery employs evidence-based methods like 12-step programs, anger management training, and brief interventions. The facility features specialized programs for adult men and women, along with support for those affected by domestic violence. Dedicated to providing exceptional care, this center develops personalized treatment strategies aimed at achieving sustainable recovery for all clients.

Orchard Place
Des Moines, IA

Orchard Place, located in Des Moines, IA, delivers extensive addiction recovery services through a variety of personalized plans. The center features intensive outpatient, outpatient, and standard outpatient treatment modalities. Employing methods like 12-step facilitation, anger management techniques, and brief intervention strategies, Orchard Place serves adults, older adults, and young adults across all gender identities. The facility particularly focuses on aiding adolescents, individuals with trauma histories, and those facing dual diagnoses of mental health and substance use challenges. Prioritizing high-quality care and individualized recovery journeys, Orchard Place stands as a symbol of hope for individuals pursuing freedom from addiction.

Orenda Center for Wellness LLC

Situated in Sabillasville, MD, the Orenda Center for Wellness LLC delivers targeted assistance for adult women dealing with substance use issues within a nurturing and secure atmosphere. This center features a range of options including long-term, short-term, and 24-hour residential treatment programs that utilize research-backed methods such as cognitive behavioral therapy and 12-step support. The facility particularly addresses the needs of those who have undergone intimate partner violence, domestic violence, and sexual abuse, ensuring that clients with co-occurring substance use and significant emotional challenges receive tailored care. It serves seniors, adults, and young adults alike, offering exceptional support and comprehensive treatment solutions.

Organization for Recovery

The Organization for Recovery, situated in Plainfield, NJ, delivers an extensive array of specialized rehabilitation services. This center is equipped to manage detoxification, treatment for substance use disorders, and address the needs of individuals facing dual diagnoses of substance use and significant mental health issues in adults, as well as severe emotional challenges in children. Treatment options encompass intensive outpatient programs, general outpatient services, and outpatient detox services. The facility employs evidence-based methods, including anger management, brief interventions, and cognitive-behavioral therapy. Customized programs are designed for active duty military personnel, as well as adult men and women. Catering to adults and young adults across all gender identities, the center emphasizes high-quality care and personalized treatment strategies to aid in fostering positive recovery outcomes.

Orlando Recovery Center Drug and

The Orlando Recovery Center, situated in Orlando, Florida, delivers thorough addiction treatment for adults and young adults grappling with substance use disorders and co-occurring mental health issues. They offer tailored programs for active military members, adult men, and women, featuring hospital-based inpatient detox and treatment grounded in proven methods such as 12-step facilitation and anger management. Emphasizing personalized care and short-term interventions, the center ensures each patient receives customized assistance in their recovery path. Orlando Recovery Center is committed to providing exceptional, empathetic care to support individuals in attaining sustained sobriety and enhanced mental health.

Orlando VAMC
Melbourne, FL

Situated in Melbourne, Florida, the Orlando VAMC specializes in extensive treatment for substance use disorders among adults who also face mental health challenges. This center offers both intensive outpatient and standard outpatient services, featuring options like methadone and buprenorphine therapy. By employing methods such as 12-step support, anger management, and brief intervention techniques, the facility serves adult men and women, including those who have suffered from intimate partner violence. The Orlando VAMC is committed to providing high-quality care that is customized to each individual's requirements, fostering a nurturing atmosphere conducive to recovery for adults and seniors of all genders.

Oro House
Malibu, CA

Nestled in Malibu, California, Oro House delivers premier recovery solutions for individuals of all ages facing addiction and associated mental health challenges. Their offerings encompass extended residential stays, beginning with detox and continuing with continuous round-the-clock support. Oro House also features tailored programs designed for active service members, adult men, and adult women. Emphasizing 12-step integration, emotional regulation skills, and concise therapeutic interventions, Oro House guarantees effective, gender-tailored care for all. Those pursuing thorough and individualized addiction care can rely on Oro House for proven methods and skilled guidance within a peaceful Malibu environment.

Orenda Center of Wellness

Situated in Buckeystown, MD, the Orenda Center of Wellness delivers exceptional rehabilitation services aimed at adult males facing challenges related to substance use disorders alongside concurrent mental health issues. The facility presents various treatment options, including long-term, residential, and short-term programs, emphasizing 12-step methods, cognitive behavioral therapy, and motivational incentives. Tailored programs are available for those who have encountered intimate partner violence, domestic violence, and sexual abuse. This center is recognized for its commitment to providing attentive care to adults, seniors, and young adults, creating a nurturing atmosphere for male clients in pursuit of thorough and impactful treatment.

Orleans Health LLC
Baltimore, MD

Orleans Health LLC, located in Baltimore, MD, specializes in offering a broad range of substance use recovery services for adults, including individuals facing concurrent severe mental health challenges. The center provides a variety of treatment options such as intensive outpatient programs, outpatient care, and targeted methadone, buprenorphine, or naltrexone therapies. Emphasizing a 12-step approach along with anger management and brief intervention techniques, Orleans Health LLC customizes its programs to cater to the unique needs of each client. The facility also features tailored programs for adult men and women, as well as those living with HIV or AIDS, ensuring focused support. Orleans Health LLC is dedicated to providing quality, empathetic care to adults and young adults of all genders.

Oro House
Los Angeles, CA

Oro House, situated in Los Angeles, California, is dedicated to providing high-quality addiction recovery services for both adults and young adults. The center specializes in detoxification, treatment for substance use disorders, and addressing co-occurring issues. It features a long-term residential care model that emphasizes 12-step programs, anger management, and brief intervention techniques. With specifically designed programs for active duty military personnel, as well as adult men and women, Oro House prioritizes personalized treatment for each individual. Clients can expect extensive services aimed at fostering sustainable recovery, whether they are looking for residential detox or around-the-clock assistance. The center is recognized for its commitment to promoting sobriety and mental health in a nurturing atmosphere.

ORTC LLC
Medford, OR

ORTC LLC, located in Medford, OR, specializes in extensive treatment for substance use issues in both adults and young adults. The facility offers a variety of programs, including intensive outpatient services, standard outpatient treatment, and outpatient options involving methadone, buprenorphine, or naltrexone. With methodologies like anger management, brief intervention techniques, and cognitive behavioral therapy, ORTC LLC customizes its treatment approach to accommodate the unique needs of each individual. There are dedicated programs designed specifically for active duty military members as well as tailored support for adult men and women, fostering a nurturing atmosphere for all clients. The center is committed to delivering high-quality care, prioritizing individualized treatment plans to assist in the journey toward sustained recovery.

Orange County Healthcare Agency

Situated in Santa Ana, CA, the Orange County Healthcare Agency provides a wide range of substance use treatment options that include intensive outpatient programs, general outpatient services, and treatments involving methadone, buprenorphine, or naltrexone. This center emphasizes techniques such as anger management, brief interventions, and cognitive behavioral therapy to deliver a personalized and impactful recovery journey. Aiming for individualized support, the facility serves men and women of all ages, showcasing a commitment to high-quality care that enables clients to conquer addiction and maintain long-term recovery.

Orenda Center of Wellness

Situated in Frederick, MD, the Orenda Center of Wellness delivers a wide range of rehabilitation services designed for adults and seniors. This center specializes in treating substance use disorders alongside co-occurring mental health concerns, providing a variety of options such as intensive outpatient programs, outpatient day treatment, and partial hospitalization. Emphasizing methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy, the Orenda Center customizes its treatment plans to meet the unique needs of each individual. It also features specialized programs for adolescents and separate offerings for adult men and women, ensuring focused and effective care. With a commitment to gender-responsive treatment, both male and female clients receive tailored support. Discover effective care and personalized rehabilitation at the Orenda Center of Wellness.

ORTC LLC
Pendleton, OR

ORTC LLC, located in Pendleton, OR, provides a full range of treatment options for substance use, including outpatient services, as well as methadone/buprenorphine and naltrexone programs. The center emphasizes customized care by utilizing various strategies such as 12-step facilitation, anger management, and brief intervention techniques. Catering to a wide array of demographics, ORTC LLC features specialized programs for adult men, adult women, and veterans. The facility is dedicated to serving both adults and young adults across all gender identities, ensuring a personalized approach to treatment. Clients can anticipate high-quality care aimed at fostering their recovery and overall well-being. For anyone in need of a nurturing space to confront substance use issues, this center delivers effective programs focused on individualized support.

Orange County Healthcare Agency

Situated in Anaheim, California, the Orange County Healthcare Agency delivers a wide range of substance use recovery programs tailored for adults and young adults. This center features intensive outpatient services along with outpatient and standard outpatient options. Employing techniques like anger management, brief intervention, and cognitive behavioral therapy, the facility serves both men and women, including those who have dealt with traumatic experiences. Committed to personalized care, Orange County Healthcare Agency prioritizes effective treatment for individuals aiming to overcome substance use challenges.

OREA LLC
Silver Spring, MD

OREA LLC, situated in Silver Spring, MD, is a premier outpatient facility dedicated to addressing substance use disorders. This center provides structured outpatient services designed for adults and young adults, irrespective of gender. Through evidence-based methods such as 12-step facilitation, anger management techniques, and brief intervention strategies, OREA LLC delivers holistic support for individuals combatting addiction. The center is distinguished by its specific treatment tracks for adult males, adult females, and individuals impacted by domestic or intimate partner violence. OREA LLC is committed to high-quality care and individualized treatment, serving as a vital resource for those on the path to recovery.

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Located in Aliso Viejo, CA, the Orange County Healthcare Agency provides a broad spectrum of substance use rehabilitation services, including intensive outpatient, outpatient, and routine outpatient programs. This center is adept at employing methods such as anger management, brief interventions, and cognitive behavioral therapy to effectively tackle addiction challenges. There are dedicated programs specifically designed for adult men and women, as well as individuals who have gone through traumatic experiences, ensuring a range of specific needs is met. Catering to both adult and young adult clients, the facility emphasizes personalized treatment approaches. If you are in search of tailored support within a nurturing environment, the Orange County Healthcare Agency is committed to guiding you through the recovery process.

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Charlottesville, VA

Orchard Mountain Recovery, situated in Charlottesville, VA, specializes in providing outpatient and intensive outpatient programs for substance use issues, catering to both adults and young adults. The center employs various therapeutic approaches, including 12-step facilitation, cognitive behavioral therapy, and brief interventions, ensuring that treatment is customized for each individual, regardless of gender. Orchard Mountain Recovery is particularly recognized for its commitment to creating personalized treatment plans. Individuals seeking help can anticipate receiving exemplary care in a nurturing setting that fosters long-term recovery. For those in need of reliable addiction treatment and a devoted staff, this facility offers a wide range of services to aid in your path to recovery.

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Daytona Beach, FL

Situated in Daytona Beach, Florida, the Orlando VA rehabilitation center delivers extensive support for addiction issues and associated mental health conditions in both adults and children. Emphasizing intensive outpatient and outpatient services, the center caters to adult men, women, and those who have faced domestic abuse through tailored programs. Treatment methods encompass anger management, cognitive behavioral therapy, and short-term interventions. This facility serves individuals of all genders, offering exceptional, individualized care to aid them in their recovery process.

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Grants Pass, OR

ORTC LLC, located in Grants Pass, OR, provides extensive outpatient treatment options for substance use that are customized to meet the unique requirements of each client. The center is particularly focused on outpatient treatments utilizing methadone, buprenorphine, or naltrexone, offering modalities such as 12-step support, brief interventions, and cognitive-behavioral therapy. With specific programs designed for active military personnel, as well as distinct offerings for adult men and women, ORTC LLC caters to adults and young adults of all genders. Recognized for its high-quality care and individualized treatment plans, this facility is a reliable option for individuals searching for effective addiction recovery support in the Grants Pass region.

Dual Diagnosis (Co-Occurring Disorders): Key Facts

Classification

Co-occurring mental health + substance use disorders

Prevalence

9.2 million adults in the US (SAMHSA)

Affected

~50% of people with severe mental illness have SUD

Common pairings

Depression+alcohol, Anxiety+benzos, PTSD+opioids, Bipolar+stimulants

Treatment model

Integrated (simultaneous), NOT sequential

Why it matters

Treating one without the other = high relapse rate for both

Key credential

CARF or Joint Commission dual diagnosis accreditation

Insurance

Covered under Mental Health Parity and Addiction Equity Act

What Is Dual Diagnosis?

Definition of dual diagnosis

Dual diagnosis — also called co-occurring disorders — refers to the presence of both a mental health disorder and a substance use disorder (SUD) in the same person at the same time. This is not two separate problems that happen to overlap. The mental health condition and the addiction interact with and reinforce each other, making both harder to treat in isolation.

More common than most people realize

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 9.2 million adults in the United States have co-occurring mental health and substance use disorders. Roughly half of all people with a severe mental illness also struggle with substance abuse, and about one-third of all people with any mental illness also have a substance use disorder. Despite how common this is, fewer than 10% of people with co-occurring disorders receive treatment for both conditions.

Why dual diagnosis is often missed

Many people with co-occurring disorders are only diagnosed with one condition. Substance use can mask or mimic mental health symptoms, and mental health symptoms can be dismissed as consequences of substance use. This is why comprehensive assessment by professionals trained in both mental health and addiction is essential for accurate diagnosis and effective treatment planning.

Common Co-Occurring Disorder Combinations

Depression + Alcohol

Depression and alcohol use disorder is one of the most common co-occurring combinations. People with depression often drink to numb emotional pain, but alcohol is a central nervous system depressant that worsens depression over time. This creates a self-reinforcing cycle where each condition drives the other.

Anxiety Disorders + Benzodiazepines or Alcohol

People with generalized anxiety, social anxiety, or panic disorder frequently turn to benzodiazepines or alcohol for relief. While these substances reduce anxiety temporarily, they cause rebound anxiety that is often worse than the original symptoms, leading to escalating use and physical dependence.

PTSD + Opioids

Post-traumatic stress disorder and opioid use disorder frequently co-occur. Opioids blunt the emotional pain, hyperarousal, and intrusive memories associated with PTSD. However, opioid dependence adds a second layer of suffering and makes trauma processing in therapy far more difficult.

Bipolar Disorder + Stimulants

People with bipolar disorder have some of the highest rates of co-occurring substance use. During depressive episodes, stimulants like cocaine or methamphetamine may be used to elevate mood. During manic episodes, stimulants can intensify risky behavior. Substance use also destabilizes mood cycling and interferes with medication effectiveness.

Eating Disorders + Various Substances

Eating disorders like anorexia, bulimia, and binge eating disorder frequently co-occur with alcohol, stimulants, laxatives, or diet pills. Both conditions involve compulsive behavior patterns and distorted self-perception. Treatment must address the shared psychological roots rather than treating each behavior in isolation.

Why Integrated Treatment Is Essential

The failure of the sequential model

For decades, the standard approach was sequential treatment: address the addiction first, then treat the mental health condition (or vice versa). This approach consistently produced poor outcomes. A person who achieves sobriety but still has untreated depression, anxiety, or PTSD is at extremely high risk for relapse. Likewise, stabilizing someone's mental health while ignoring active substance use undermines psychiatric treatment effectiveness.

The evidence for integrated care

Research consistently shows that integrated treatment — addressing both conditions simultaneously with a coordinated team — produces significantly better outcomes than sequential or parallel treatment. SAMHSA has identified integrated dual diagnosis treatment as an evidence-based practice and recommends it as the standard of care for co-occurring disorders. Integrated programs reduce hospitalization rates, improve treatment retention, decrease substance use, and improve mental health symptoms.

What integrated means in practice

In an integrated program, the same treatment team addresses both conditions together. A psychiatrist manages medication for both the mental health disorder and any medication-assisted addiction treatment. Therapists are trained in both mental health and substance use counseling. Treatment plans account for how the two conditions interact, and progress is measured across both domains simultaneously.

What Happens in Dual Diagnosis Treatment

Comprehensive assessment

Treatment begins with a thorough evaluation by professionals trained in both mental health and addiction. This assessment identifies all co-occurring conditions, determines the severity of each, evaluates how the conditions interact, screens for medical complications, and establishes a baseline for measuring progress.

Medication evaluation and management

A psychiatrist evaluates medication needs for both conditions. This may include antidepressants, mood stabilizers, anti-anxiety medications (non-addictive options), antipsychotics, and addiction-specific medications like buprenorphine, naltrexone, or acamprosate. Medication management is ongoing throughout treatment, with adjustments as symptoms change.

Individual and group therapy

Individual therapy uses evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to address thought patterns, emotional regulation, trauma, and coping skills. Group therapy provides peer support from others with co-occurring disorders, reduces isolation, and builds interpersonal skills. Specialized groups may focus on relapse prevention, emotion management, or specific conditions like trauma or anxiety.

Family education and involvement

Co-occurring disorders affect the entire family. Family education helps loved ones understand both conditions, learn how to provide effective support without enabling, establish healthy boundaries, and participate constructively in the recovery process. Family therapy sessions address relationship dynamics that may contribute to or result from the conditions.

Aftercare planning

Before discharge, the treatment team develops a detailed aftercare plan that includes ongoing psychiatric care, continued therapy, support group participation, medication management, relapse prevention strategies, and crisis planning. Aftercare is especially important for dual diagnosis because both conditions are chronic and require ongoing management.

Typical program timeline

Dual diagnosis programs are often longer than single-condition treatment. Residential programs typically last 30 to 90 days, though some extend to 6 months for complex cases. Intensive outpatient programs run 8 to 12 weeks. Step-down to standard outpatient therapy and psychiatric follow-up usually continues for 6 to 12 months or longer, depending on individual progress and needs.

How to Choose a Dual Diagnosis Treatment Center

Licensed MH + addiction staff

Verify the center has both licensed mental health professionals (psychiatrists, psychologists) and certified addiction specialists working together.

Psychiatric services on-site

On-site psychiatric care is essential for medication evaluation, prescribing, and ongoing management of both psychiatric and addiction medications.

Medication management

Look for programs that coordinate psychiatric medications with addiction treatment medications, monitoring for interactions and adjusting as needed.

Accreditation (CARF, Joint Commission)

CARF or Joint Commission accreditation with a specific dual diagnosis designation indicates the program meets rigorous quality standards for co-occurring care.

Evidence-based therapies

The center should offer CBT, DBT, trauma-focused therapy, motivational interviewing, and other proven approaches tailored to co-occurring disorders.

Individualized treatment plans

Every dual diagnosis presentation is different. The center should create personalized plans based on your specific conditions, severity, history, and goals.

Insurance Coverage for Dual Diagnosis Treatment

The Mental Health Parity and Addiction Equity Act

The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health insurance plans that offer mental health and substance use coverage to provide benefits that are comparable to medical and surgical coverage. This means your insurer cannot impose stricter limits on dual diagnosis treatment than it would on treatment for a physical health condition like diabetes or heart disease.

ACA essential health benefits

Under the Affordable Care Act, mental health and substance use disorder services are classified as essential health benefits. All ACA-compliant marketplace plans must cover these services, including dual diagnosis treatment. This applies to individual and small group plans purchased through the Health Insurance Marketplace.

Medicaid coverage

Medicaid covers mental health and substance use treatment in all states, though the specific services covered and provider networks vary by state. Many states have expanded Medicaid under the ACA, broadening access to dual diagnosis treatment for low-income adults. Contact your state Medicaid office or a treatment center's admissions team to verify your specific coverage.

How to verify your benefits

Call the member services number on the back of your insurance card and ask specifically about coverage for co-occurring mental health and substance use treatment. Request details on in-network providers, deductibles, copays, prior authorization requirements, and any limits on residential or outpatient days. Most treatment centers also offer free insurance verification — call their admissions line and provide your insurance information for a benefits check before committing to a program.

If you've tried treatment for addiction OR mental health alone and relapsed, you may need integrated dual diagnosis care. This is not a failure — it means both conditions need to be addressed together.

Frequently Asked Questions About Dual Diagnosis

What exactly is dual diagnosis?

Dual diagnosis refers to having both a mental health disorder (like depression, anxiety, PTSD, or bipolar disorder) and a substance use disorder simultaneously. Also called co-occurring disorders, this condition affects approximately 9.2 million adults in the United States and nearly 50% of people with severe mental illness. Integrated treatment that addresses both issues together — rather than separately — produces significantly better outcomes.

Why is integrated treatment important for dual diagnosis?

Integrated treatment is crucial because mental health and addiction affect each other directly. Treating only one condition while ignoring the other typically leads to relapse in both. For example, getting sober without addressing underlying depression or PTSD leaves the person vulnerable to self-medicating with substances again. Integrated programs provide coordinated care where mental health professionals and addiction specialists work together on a unified treatment plan.

How do I know if I have dual diagnosis?

Signs that you may have co-occurring disorders include: experiencing mental health symptoms (depression, anxiety, mood swings, paranoia) alongside substance use problems; using substances to cope with emotional pain or mental health symptoms; difficulty controlling substance use despite consequences; mental health symptoms that persist or worsen even during periods of sobriety; or previous treatment failure for either addiction or mental health alone. A comprehensive assessment by a qualified professional can confirm a dual diagnosis.

What makes a treatment center qualified for dual diagnosis?

Look for programs that have both licensed mental health professionals (psychiatrists, psychologists, licensed clinical social workers) and certified addiction specialists on staff. The center should offer on-site psychiatric services, medication management, evidence-based therapies for both conditions (CBT, DBT, trauma-focused therapy), and individualized treatment plans. CARF or Joint Commission accreditation with a dual diagnosis designation is a strong indicator of quality.

Does insurance cover dual diagnosis treatment?

Yes, most health insurance plans cover dual diagnosis treatment. The Mental Health Parity and Addiction Equity Act requires insurers to cover mental health and substance use treatment at levels comparable to medical and surgical coverage. ACA-compliant plans include these as essential health benefits. Medicaid also covers co-occurring disorder treatment in all states. Contact your insurance provider or a treatment center's admissions team to verify your specific benefits and out-of-pocket costs.

What if I was only diagnosed with addiction but think I have a mental health condition too?

This is very common — many people enter addiction treatment without a formal mental health diagnosis. If you experience persistent sadness, anxiety, mood swings, flashbacks, difficulty concentrating, or other symptoms beyond your substance use, tell your treatment team. Request a comprehensive psychiatric evaluation. A qualified dual diagnosis program will screen for co-occurring mental health conditions and adjust your treatment plan accordingly. Getting the right diagnosis is essential for lasting recovery.

Can I take psychiatric medications while in addiction treatment?

Yes, and in many cases it is essential. Proper psychiatric medication management is a critical part of dual diagnosis treatment. Non-addictive medications like SSRIs, SNRIs, mood stabilizers, and certain anti-anxiety medications (such as buspirone or hydroxyzine) are safe and effective during addiction recovery. Dual diagnosis programs have psychiatrists who specialize in prescribing medications that treat mental health conditions without interfering with sobriety or creating new dependencies. Never stop taking prescribed psychiatric medications without consulting your doctor.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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