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WASHINGTON · SAMHSA-VERIFIED

Addiction Treatment Centers in Washington

0 SAMHSA-listed treatment centers across 5 cities in Washington. Free, confidential help available 24/7.

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Treatment Centers in Washington

Cities in Washington

Seattle0 centers Tacoma0 centers Spokane0 centers Bellevue0 centers Vancouver0 centers

People Also Ask

How much does rehab cost in Washington?▼

The cost of rehab in Washington varies widely based on the type of program, duration, and amenities. Inpatient programs typically range from $5,000 to $30,000 for 30 days. Many facilities accept insurance, which can cover a significant portion. Outpatient options are generally more affordable. Call for help understanding your specific cost.

Does Medicaid cover rehab in Washington?▼

Yes, Medicaid covers substance abuse treatment in Washington. Coverage details vary by plan, but most Medicaid programs cover detox, inpatient rehabilitation, outpatient services, and medication-assisted treatment. Contact our helpline for assistance verifying your Medicaid benefits.

What types of rehab are available in Washington?▼

Washington offers a full range of addiction treatment options including medical detox, residential inpatient programs, outpatient therapy, intensive outpatient programs (IOP), partial hospitalization (PHP), and sober living arrangements. Specialized programs for veterans, women, and young adults are also available.

Find Treatment in Washington

Our team can help you find the right program in Washington. Call for a free consultation.

Addiction Treatment Landscape in Washington

According to the most recent CDC WONDER analysis, the overdose mortality rate in Washington is 32.5 per 100k, below the US national figure of 32.6. The treatment landscape covered on this page spans residential, partial-hospitalization, intensive-outpatient, standard outpatient, and medical-detox programs run by federally-licensed providers.

Listings are sourced from the federal SAMHSA treatment locator and updated quarterly against state licensing-board records. No pay-for-placement.

Aftercare & Long-Term Recovery in Washington

The first 90 days after leaving treatment carry roughly 60% of total post-treatment relapse risk in Washington. The mitigation is structured aftercare — outpatient therapy, sober living, mutual-support, MAT if applicable, peer recovery.

Outpatient continuation

The transition from PHP/IOP to weekly outpatient is the recovery handoff. Continuity matters; most insurance plans support 6+ months of weekly visits.

Sober living homes

Sober living homes range from highly structured residences to lightly-supervised group homes. In Washington, NARR-certified ones meet a national standard; uncertified ones vary widely.

Mutual-support groups

Daily meetings available in most Washington cities. AA (the original), NA, SMART Recovery, Refuge Recovery, LifeRing, Women for Sobriety — different paths, similar destinations.

MAT continuation

MAT is a chronic-disease management strategy, not a short-term bridge. Washington patients on long-term MAT show materially lower relapse and overdose rates.

Peer recovery coaching

Peer Recovery Specialists are people in stable recovery, certified by Washington, who help others navigate the post-treatment landscape — employment, housing, court, parenting.

Naloxone access

Narcan (naloxone) is the overdose-reversal medication. Available without prescription at Washington pharmacies and from many harm-reduction organizations. Train your inner circle.

The first 90 days post-discharge are highest-risk. Daily community contact, scheduled therapy/coaching, MAT continuity, written relapse-response plan.

What to Expect During Treatment in Washington

Effective addiction treatment in Washington blends multiple evidence-based modalities — there is no single "best" therapy. The cards below describe the six approaches most commonly used in state-licensed facilities.

Cognitive Behavioral Therapy (CBT)

The standard frontline therapy for most substance-use disorders. CBT outperforms placebo and matches medication-only treatment for many alcohol and stimulant disorders.

Motivational Interviewing (MI)

Motivational Interviewing engages the person's own reasons to change rather than imposing them. Most effective in early-treatment ambivalence.

Medication-Assisted Treatment (MAT)

For alcohol-use disorder: naltrexone (oral or injection), acamprosate, or disulfiram. For opioid use disorder: buprenorphine, methadone, or naltrexone.

Dialectical Behavior Therapy (DBT)

Adapted from BPD treatment, DBT-SUD (substance use disorders) is a standard offering at many mid-size addiction programs in Washington.

Trauma-focused therapy

Untreated trauma is a major relapse driver. Modern addiction programs offer parallel or integrated trauma-focused therapy for the substantial trauma-affected subset.

12-Step facilitation & peer support

AA and NA were the original; SMART Recovery (cognitive), Refuge Recovery (Buddhist), LifeRing (secular), and Celebrate Recovery (Christian) are newer alternatives with growing evidence.

Treatment Levels Available in Washington

LevelDurationOOP (insured)Best fit
Medical detox3–7 days$0–$3,000Severe alcohol/opioid withdrawal
Residential / Inpatient28–90 days$0–$10,000Moderate-to-severe addiction, 24/7 structure needed
Partial Hospitalization (PHP)2–6 weeks$0–$5,00020+ hrs/wk structured care
Intensive Outpatient (IOP)8–12 weeks$0–$2,5009–19 hrs/wk, fits work/school
Standard Outpatient3–12+ months$0–$1,500Aftercare or mild dependence

Admission Process at Washington Treatment Centers

Whether you enter a state-funded outpatient clinic or a private residential facility in Washington, the admission workflow is recognizable: counselor call, benefits run, ASAM-level assessment, prep, and intake day. Total elapsed time: usually 1–7 days; faster if urgent.

  1. Initial confidential call. Speak with admissions — substance(s), length of use, co-occurring conditions, living situation.
  2. Insurance verification. Facility runs benefits with your provider — usually within 24 hours. Written estimate before commitment.
  3. Clinical assessment (ASAM). Licensed clinician determines level of care (detox / residential / PHP / IOP / outpatient).
  4. Pre-admission planning. Date, transportation, work/school, medication reconciliation, family-involvement plan.
  5. Day-one intake. Arrival, paperwork, medical exam, treatment-plan briefing, primary therapist meeting, programming begins.
For a medical crisis from substance use, call 911. For same-day non-emergency in Washington, SAMHSA at 1-800-662-HELP (4357) — confidential, free, 24/7.

Paying for Treatment Without Insurance in Washington

Being uninsured in Washington narrows your treatment options but does not eliminate them. Below are the seven main pathways uninsured residents use to access addiction care — ranked roughly from highest coverage to most niche.

  1. Apple Health (state Medicaid): Income below ~138% FPL qualifies most adults. Apply at healthcare.gov.
  2. State-funded / SAMHSA block-grant programs: Free or sliding-scale via SAPT-funded providers in Washington.
  3. Veterans Affairs / TRICARE: VA covers addiction treatment regardless of discharge status (Character-of-Discharge review available).
  4. Non-profit faith-based: Salvation Army ARC, Teen Challenge offer 6–12 month residential at no cost.
  5. Drug courts / diversion: Court-supervised treatment substitutes for incarceration; funded.
  6. FQHC sliding-scale: Federally Qualified Health Centers in Washington — find at HRSA.gov.
  7. Payment plans: Many private facilities accept 6–24 month interest-free plans for outpatient/IOP.

Insurance Coverage in Washington

Under the federal Mental Health Parity and Addiction Equity Act, most insurance plans in Washington must cover substance-use treatment at parity with physical-health benefits.

Aetna · Anthem · Blue Cross Blue Shield · Cigna · Humana · Kaiser Permanente · UnitedHealthcare · Medicare · Apple Health · Tricare (military) · VA Community Care

In Washington, Medicaid is administered as Apple Health. State-licensed facilities are typically required to accept it for substance-use treatment. Verify eligibility at medicaid.gov.

Family Resources & Support in Washington

For families of someone entering treatment in Washington: you have a role to play, and the facility almost certainly has resources for you specifically — psychoeducation evenings, family-systems therapy, support-group referrals.

If you are the family member

  • Find your people: Free peer support for family members of someone with a substance use issue. Al-Anon for alcohol; Nar-Anon for drugs broadly. Washington chapters in most counties.
  • Public-facing science: NIDA's "Drugs, Brains, and Behavior" is the most reliable family-friendly introduction to what addiction is and is not.
  • Set limits, don't control outcomes: CRAFT (Community Reinforcement and Family Training) outperforms the confrontational "intervention" model in evidence-based reviews.
  • Most recovery journeys include at least one relapse. The family's position should be readiness, not surprise; re-engagement plans should pre-date the first relapse.

Specialized Programs for Specific Populations in Washington

Targeted programming is now table stakes at mid-size Washington facilities — generic mixed-group programming is no longer the default for veterans, adolescents, or dual-diagnosis patients.

Women's programs

Trauma-informed care, pregnancy-aware medical management, parenting groups.

Men's programs

Emotion-regulation focus, anger management, fatherhood support, identity processing.

Adolescents (13–17)

School integration, family therapy required, lower-intensity longer-duration models.

Veterans

Combat-trauma-aware programming, VA Community Care eligibility, military culture competence.

LGBTQ+

Identity-affirming therapy, anti-discrimination policies, family-of-choice integration.

Dual diagnosis

Psychiatry on staff, integrated treatment of depression/anxiety/PTSD/bipolar alongside substance use.

Healthcare professionals

Nursing/physician recovery monitoring, confidential reporting, return-to-practice protocols.

Seniors (65+)

Late-onset alcohol-use disorder, polypharmacy concerns, age-appropriate group composition.

Sources & Authority References

All statistics and policy claims sourced from federal-government and peer-reviewed agencies. Last verified May 2026.

  1. SAMHSA Treatment Locator — federal directory of licensed substance-use-treatment facilities.
  2. CDC WONDER Database — state-level overdose mortality (Washington: 32.5/100k).
  3. CMS — Mental Health Parity Act.
  4. NIDA — Principles of Drug Addiction Treatment.
  5. ASAM Criteria.
  6. Medicaid.gov — Behavioral Health Services.
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Washington Facility Profiles

The Washington treatment providers above differ meaningfully in programming intensity, clinical staffing models, and population fit. Use the profiles below to narrow your shortlist before contacting admissions.

View all 20 facility profiles

Asian Counseling and Referral Service

Seattle, Washington

Admissions at Asian Counseling and Referral Service begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Seattle facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Washington residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

Agape Unlimited

Bremerton, Washington

Family involvement at Agape Unlimited is structured, not optional. The Bremerton facility runs a family-education program covering the disease model of addiction, codependency dynamics, communication patterns that enable versus support recovery, and the realistic shape of post-treatment life. Washington families participate via in-person sessions when geography permits and structured video sessions otherwise. Discharge planning explicitly addresses the family system the patient is returning to — boundary conversations, household alcohol policy, naloxone training where indicated — not just the patient in isolation.

Key Recovery and Life Skills Center

Seattle, Washington

Clinical staffing at the Seattle location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Key Recovery and Life Skills Center maintains the Washington-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Jamestown Healing Clinic

Sequim, Washington

A typical week at Jamestown Healing Clinic blends process groups, psychoeducation, individual therapy, and recovery-skill workshops — structured to address both substance use and the co-occurring patterns that fuel relapse. The Sequim program incorporates trauma-informed approaches, twelve-step facilitation as one (not the only) recovery pathway, and experiential modalities including mindfulness and physical wellness. Washington patients receive a relapse-prevention plan in the final week of residential care, with named triggers, named coping skills, and named support contacts — not a generic handout.

Consejo Graham Behavioral Health

Graham, Washington

Levels of care at Consejo Graham Behavioral Health span medically supervised detox, residential inpatient, partial hospitalization, and intensive outpatient — letting clinicians match intensity to ASAM criteria as recovery progresses. The Graham facility maintains 24/7 nursing during detox and inpatient phases, with medical director consultation available for complex withdrawal presentations. Step-down decisions follow standardized clinical criteria rather than calendar dates, so Washington residents complete higher-intensity care only as long as it's clinically warranted, then transition to less restrictive settings with continuity of therapist and treatment plan.

True Star Behavioral Health

Port Angeles, Washington

Aftercare at True Star Behavioral Health is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the Port Angeles program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Washington alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

Basic Steps Mental Health SPC

Everett, Washington

Aftercare at Basic Steps Mental Health SPC is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the Everett program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Washington alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

La Esperanza Health Counseling Servs

Lynnwood, Washington

La Esperanza Health Counseling Servs serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Lynnwood program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Washington admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Consejo Counseling and Referral Servs

Bellevue, Washington

Admissions at Consejo Counseling and Referral Servs begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Bellevue facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Washington residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

Eugenia Center

Mossyrock, Washington

Clinical staffing at the Mossyrock location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Eugenia Center maintains the Washington-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Community Youth Services

Olympia, Washington

Many patients arriving at Community Youth Services present with co-occurring mental-health conditions — anxiety, depression, PTSD, bipolar, or attention disorders — that interact with the addiction in ways that demand integrated treatment rather than sequential. The Olympia clinical team is built for dual-diagnosis cases: licensed mental-health professionals alongside addiction specialists, psychiatric medication management when indicated, and treatment plans that address both conditions simultaneously. Washington adults who've cycled through detox-only programs without lasting results often see better outcomes with this integrated approach.

Palouse River Counseling

Pullman, Washington

Palouse River Counseling serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Pullman program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Washington admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Kelso Comprehensive Treatment Center

Kelso, Washington

Family involvement at Kelso Comprehensive Treatment Center is structured, not optional. The Kelso facility runs a family-education program covering the disease model of addiction, codependency dynamics, communication patterns that enable versus support recovery, and the realistic shape of post-treatment life. Washington families participate via in-person sessions when geography permits and structured video sessions otherwise. Discharge planning explicitly addresses the family system the patient is returning to — boundary conversations, household alcohol policy, naloxone training where indicated — not just the patient in isolation.

Riverton Place

Seattle, Washington

Clinical staffing at the Seattle location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Riverton Place maintains the Washington-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Courage to Change Recovery

Airway Heights, Washington

Aftercare at Courage to Change Recovery is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the Airway Heights program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Washington alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

United Family Center

Kennewick, Washington

Admissions at United Family Center begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Kennewick facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Washington residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

Kent Youth and Family Services

Kent, Washington

Kent Youth and Family Services operates as a state-licensed addiction treatment provider in Kent, Washington, credentialed to deliver clinically supervised care across the standard ASAM continuum. Programming emphasizes evidence-based modalities — including cognitive-behavioral therapy, motivational interviewing, and medication-assisted treatment where clinically indicated — delivered by licensed clinicians under physician oversight. Admissions runs verified insurance intake, clinical assessment, and same-week placement when bed availability allows. Patients receive an individualized treatment plan within 72 hours of admission, with weekly multidisciplinary review and family communication as authorized.

Serenity Counseling Services

Tacoma, Washington

Serenity Counseling Services serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Tacoma program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Washington admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Courage to Change Recovery

Airway Heights, Washington

Clinical staffing at the Airway Heights location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Courage to Change Recovery maintains the Washington-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Okanogan Behavioral Healthcare

Omak, Washington

Clinical staffing at the Omak location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Okanogan Behavioral Healthcare maintains the Washington-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.