NICD LISTING FORM

NOTE: Regular & Premium Listings Are A "Pay-For" Listing Service.

Recovery Home, Halfway House, Treatment Center, & Substance Abuse Agency Listings Form

With an NICD listing you are just 1 step away, (Based on a 1 week charge for rent with a recovery facility resident OR a 1 hour charge for counseling at a treatment center), from paying your entire years advertising costs!!! Upgrade to a premium listing by having NICD create your own web page- This method gets you the highest level of Internet exposure, and you receive your own personal website/page at a cost you can easily afford. See a Live Example of a Premium Listing: Live Example or Regular Listing

Contact me concerning a listing:

Premium Listing

Regular Listing

Please complete the following form to have your facility listed on the NICD Website & NICD Magazine. We will contact you with our cost effective pricing information. You won't believe how needed and affordable this is!!!

Full Name

Email Address

Re-Verify Email Address (Please make sure you type this exactly- upper case, lower case, correct spelling is vital)

Name of Facility/Agency/Halfway House, Other, etc.

Type of Facility (Treatment Center, Halfway House, Agency, etc.):

Does Your Agency Provide Additional Services (Detox, Mental Health Programs, Discharge/Placement Assistance, etc.):

Address:

Phone #s and Contact Person(s):

Email and/or Website Address:

Please tell us if you accept Males Only, Females Only, Coed, and/or Special Populations:

Optional- Please provide any additional information about the services you provide:

Thank you!!!

Sincerely,

Dr. Stephen J. Murray, NICD Director

Click the submit button below to send...

Thank you!!! Sincerely, Dr. Stephen J. Murray, NICD Director

Click the submit button below to send...

Thank you!!!

Sincerely,

Dr. Stephen J. Murray, NICD Director