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FortySeven Main Street

Castleton, VT

SAMHSA Verified Inpatient MAT Dual Dx

Inpatient · MAT · Dual Dx center · in Castleton, VT · Accepts Private.

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Call helpline: +1 (205) 973-2878

Direct line to FortySeven Main Street: (800) 287-5325

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About FortySeven Main Street

FortySeven Main Street is a small residential program in Vermont for adult men with serious mental health conditions like schizophrenia, bipolar disorder, depression, OCD, and ADHD. They offer a structured, supportive environment with daily activities and personal attention, serving just 11 residents at a time. Each person has an individualized program to help them move forward in life.
The program focuses on healing through work, creativity, and community. Residents take part in activities like carpentry, gardening, art, animal care, and music, supported by caring staff and visiting professionals. These hands-on therapies help build confidence, skills, and routine—giving each resident purpose and a sense of belonging.
Residents live in a sunny home with private rooms, shared meals, and a peaceful setting in Castleton, Vermont. The house offers cozy spaces, healthy food (often grown and cooked by residents), and easy access to nearby schools and nature. Local transportation is provided, and family involvement is welcomed to support long-term healing.

Classified as residential treatment center (rtc) for adults. private for-profit organization. Primary focus: substance use treatment, mental health treatment.

This listing is sourced from the SAMHSA Behavioral Health Treatment Services Locator. Data last synced: April 2026. Always verify current programs and insurance directly with the facility.

Quick Facts

Programs, populations, and payments verified via SAMHSA.

Level of care
Inpatient · MAT · Dual Dx
Service settings
Residential/24-hour residential
Therapy approaches
Activity therapy, Cognitive behavioral therapy, Group therapy, Integrated Mental and Substance Use Disorder treatment, Individual psychotherapy, Abnormal involuntary movement scale
Age groups
Young Adults
Special populations
Seniors or older adults, Clients with co-occurring mental and substance use disorders, Persons 18 and older with serious mental illness (SMI)
Medications used
Fluphenazine, Haloperidol, Thioridazine, Aripiprazole, Clozapine, Lurasidone, Olanzapine, Paliperidone, Quetiapine, Risperidone + 3 more
Facility operation
Private for-profit organization

Insurance & Payment Accepted

Verify coverage
Medicaid
Medicare
Private insurance
TRICARE / VA
Self-pay / Cash
Sliding scale

Full list from SAMHSA: Private health insurance; Cash or self-payment

Contact & Location

Address

706 Main Street, Castleton, VT 05735

Get directions →

Facility direct line

(800) 287-5325

Photos

FortySeven Main Street — photo FortySeven Main Street — photo FortySeven Main Street — photo FortySeven Main Street — photo

Frequently Asked Questions

Does FortySeven Main Street accept Medicaid?
SAMHSA data does not list Medicaid among this facility's accepted payment types. Call (800) 287-5325 directly to confirm — coverage may have changed since the last SAMHSA sync. You can also browse other VT centers that accept Medicaid.
What level of care does FortySeven Main Street offer?
This facility offers: Inpatient, MAT, Dual Dx. Service settings include: Residential/24-hour residential. Primary focus: Substance use treatment, Mental health treatment, Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children.
Does FortySeven Main Street have specialized programs?
Yes — this facility offers programs for: Seniors or older adults, Clients with co-occurring mental and substance use disorders, Persons 18 and older with serious mental illness (SMI).
What therapy methods does FortySeven Main Street use?
Evidence-based approaches listed with SAMHSA: Activity therapy, Cognitive behavioral therapy, Group therapy, Integrated Mental and Substance Use Disorder treatment, Individual psychotherapy, Abnormal involuntary movement scale.
How do I start treatment at FortySeven Main Street?
Call the facility directly at (800) 287-5325 for an intake assessment. Our free 24/7 helpline (+1 (205) 973-2878) can also help you compare programs, verify insurance, and navigate options. No physician referral is required.
Is treatment confidential?
Yes. Federal law (42 CFR Part 2) provides strict confidentiality protections for substance use treatment records — stricter than HIPAA. Records cannot be disclosed without written consent, even to family, employers, or law enforcement.
What happens when you call? (general intake process)

Most treatment centers follow a 4-step intake: (1) confidential assessment — substance history, mental health, insurance, preferences (protected by 42 CFR Part 2); (2) insurance verification — facility contacts your plan to confirm coverage and out-of-pocket costs; (3) level-of-care recommendation — clinical staff match you to detox, residential, PHP, IOP, or outpatient based on severity; (4) admission typically within 24–48 hours. Timing varies by facility and bed availability.

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Sources & References

  • SAMHSA — Behavioral Health Treatment Services Locator. Source of facility programs, services, and accepted payments.
  • SAMHSA — NSDUH, 2023.
  • CMS — Mental Health Parity and Addiction Equity Act (MHPAEA).
  • 42 CFR Part 2 — Confidentiality of SUD Patient Records.

Facility data last synced: April 2026. Editorial policy.

24/7 Helpline +1 (205) 973-2878