Offers medications in the form of Buprenorphine and Naltrexone. Must be North American Native American (self-attestation accepted) or live in a Native American household (co-located family members of Native Americans also eligible). However, non-Natives can join MOUD services if they are a current client of the SUD program. Can prescribe Buprenorphine using microdosing initiation for Fentanyl users. Sublocade is also offered. Counseling is offered but not required to receive medications (unless non-Native). Outpatient substance use disorder treatment services are also offered. Open to all adults. Polysubstance users are accepted.