Our 10-point score combines licensing and accreditation, the levels of care and payment options this facility reports, and patient ratings from Google and StartDrugRehab.com reviewers. Paid or claimed listings never change a score. Read full methodology
Patient ratings use 32 Google reviews (3.2★), weighted toward a 4.0 average until there are enough reviews to be reliable.
Pivotal is a public substance use treatment provider in Centreville, Michigan, located at 677 East Main Street.
Levels of care offered here include intensive outpatient (IOP), standard outpatient counseling, medication-assisted treatment (MAT), and co-occurring (dual diagnosis) mental health treatment. Clinicians use approaches such as anger management, brief intervention, cognitive behavioral therapy, contingency management/motivational incentives, and motivational interviewing. For opioid use disorder, the program uses naltrexone.
Payment options include government funding for people who qualify, Medicare, Medicaid, military insurance (TRICARE), private health insurance, cash or self-payment, and state-financed health insurance. Coverage depends on your specific plan, so verify benefits before admission.
The program accepts children and adolescents, young adults, and seniors. It offers specialized groups for adolescents, young adults, women, pregnant/postpartum women, and men.
Pivotal is accredited by CARF and licensed or certified by the state substance use treatment agency, state mental health department, and state department of health.
Based on SAMHSA-listed programs in our directory. Rankings use the StartDrugRehab Score; facilities can't pay to change them. Distances are straight-line.
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| Licensing & accreditation | State substance use treatment agency, State mental health department, State department of health, Commission on Accreditation of Rehabilitation Facilities (CARF) |
|---|---|
| Ages accepted | Children/Adolescents, Young Adults, Seniors |
| Operated by | Local, county, or community government |
St. Joseph County, MI has 2 SAMHSA-listed addiction treatment facilities for 61,171 residents. No facility in the county lists detox services, so people who need medically supervised withdrawal usually have to travel to another county first. It is the only listed provider of buprenorphine or methadone treatment in the county.
Source: StartDrugRehab Treatment Deserts 2026, built from SAMHSA FindTreatment.gov, U.S. Census 2024 population estimates and CDC overdose data. Counts are SAMHSA-listed facilities only.
Pivotal lists the following levels of care: intensive outpatient (IOP), outpatient, medication-assisted treatment (MAT), and dual diagnosis. Services can change, so confirm current programs before admission.
According to SAMHSA data, Pivotal accepts federal, or any government funding for substance use treatment programs, medicare, medicaid, federal military insurance (e.g., tricare), private health insurance, cash or self-payment, state-financed health insurance plan other than medicaid, and samhsa funding/block grants. Your exact coverage depends on your plan and network status. You can check your benefits with your insurer, or call (833) 589-6933 for a free benefits check.
Pivotal does not list detox services. If you need medically supervised withdrawal first, see detox programs or call (833) 589-6933 for help finding one.
Yes. Pivotal reports accreditation from CARF. Accreditation means the facility meets independent quality and safety standards.
Pivotal accepts children/adolescents, young adults, and seniors. Specialized groups include adolescents, young adults, adult women, pregnant/postpartum women, and adult men.
St. Joseph County, MI has 2 SAMHSA-listed treatment facilities for about 61,171 residents: 0 list detox services, 0 offer buprenorphine or methadone treatment and 0 offer 24-hour care (2026 data).
Pivotal has a 3.2-star rating from 32 Google reviews (as of November 2026). Ratings reflect individual experiences and are not a measure of clinical quality.
Admission usually starts with a phone screening and insurance check, followed by an assessment. You can contact Pivotal directly at 269-467-1000. Our admissions helpline at (833) 589-6933 can connect you with a licensed treatment provider, which may not be Pivotal. Our helpline is not affiliated with Pivotal.
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Source: SAMHSA FindTreatment.gov, data updated October 2026. Facilities report this information to SAMHSA, and it can change, so confirm details before admission. A listing is not an endorsement. StartDrugRehab.com is not affiliated with Pivotal.
