You must have JavaScript enabled to use this form. Need to update or add your agency or new facility location? Submit a request by using the form below. Please be sure to fill in all fields below and check all appropriate boxes. A picture may also be uploaded for the location. Please note that all information submitted will be reviewed for appropriateness and accuracy before posting. *indicates a required field Please Note: For Drinking Driver Education Class location updates, please contact the Department of Education: OWI Education (Phone: 515-281-5251; email OWIIowa@iowa.gov). Your Name * Your email * Your Phone Number * Facility Info Update Existing Listing New Facility Listing Existing or New Facility Agency Name/Facility Name * Address Phone Number Fax Email Website Youtube Video/Channel Description or Comments Services Offered Alcohol/Drug Treatment Problem Gambling Treatment Drinking Driver Education Class Medication Assisted Treatment: Buprenorphine Medication Assisted Treatment: Methadone Medication Assisted Treatment: Other Mental Health Services Withdrawal Management and Detox Substance Use Evaluation Outpatient (Adult) Male Female Outpatient (Youth) Male Female Residential (Adult) Male Female Residential (Youth) Male Female Upload Location Image Upload File dimensions should be 200 pixels wide by 150 pixels tall. Files must be less than 4 MB. Allowed file types: gif jpg jpeg png. More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png. Click here to email location images. Submit Request
