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Washington Treatment Directory

Drug & Alcohol Rehab Centers in Washington

Washington State is home to approximately 900 licensed addiction treatment facilities, making it one of the most well-resourced states in the Pacific Northwest for substance use disorder care. The Washington State Health Care Authority (HCA), through the Division of Behavioral Health and Recovery (DBHR), oversees the state's behavioral health system and coordinates with managed care organizations to deliver treatment services across all 39 counties.

The state faces a significant substance use crisis. In 2022, Washington recorded approximately 2,600 drug overdose deaths — a sharp increase driven primarily by illicitly manufactured fentanyl. King County (Seattle) and Pierce County (Tacoma) account for the largest share of overdose fatalities, though rural eastern Washington counties have seen rising death rates as well. Methamphetamine remains the second most common substance involved in overdose deaths statewide, and alcohol use disorder affects an estimated 600,000 Washington residents annually. The convergence of the opioid crisis with homelessness in Seattle and other urban centers has made integrated treatment and housing a state priority.

Washington's treatment infrastructure is distinguished by its progressive harm reduction philosophy, strong medication-assisted treatment (MAT) networks, and integration of nature-based therapeutic modalities unique to the Pacific Northwest. Treatment spans the full ASAM continuum from medical detoxification and residential programs to intensive outpatient (IOP) and telehealth services. The Seattle metro area offers specialized programs for tech industry professionals, while communities like Olympia, Bellingham, and the San Juan Islands provide retreat-style recovery environments surrounded by old-growth forests, mountains, and coastline. Cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness-based interventions are widely integrated into treatment programming across the state.

Addiction Treatment Landscape in Washington

Washington's behavioral health system is administered by the Health Care Authority (HCA) through the Division of Behavioral Health and Recovery (DBHR). DBHR manages the state's Substance Use Disorder (SUD) treatment services, contracts with Behavioral Health Administrative Services Organizations (BH-ASOs) for crisis services, and coordinates with managed care organizations that deliver Medicaid-funded treatment. Washington was among the first states to fully integrate physical and behavioral health care under managed care, completing the transition in 2020.

Key statistics:

  • Approximately 2,600 drug overdose deaths in 2022 (Washington State Department of Health)
  • About 900 licensed treatment facilities statewide (SAMHSA N-SSATS)
  • Fentanyl involved in over 70% of opioid-related overdose deaths, up from under 10% in 2016
  • An estimated 600,000 Washington residents meet criteria for an alcohol use disorder

Washington is nationally recognized for its progressive harm reduction approach. The state was one of the earliest to authorize syringe service programs, and Seattle operates some of the most comprehensive harm reduction infrastructure in the country, including overdose prevention programs and widespread naloxone distribution. In 2023, the state legislature passed the Blake fix legislation (HB 1767) establishing a new framework for substance use response that prioritizes treatment over incarceration and funds diversion programs statewide.

Regional treatment patterns vary across the state. The greater Seattle-Bellevue-Tacoma corridor has the densest concentration of treatment options, including specialized programs for tech industry professionals dealing with stimulant and prescription drug issues, and robust dual-diagnosis treatment infrastructure. Spokane and eastern Washington face rising methamphetamine and opioid use in more rural settings. The Olympic Peninsula and San Juan Islands offer nature-immersive recovery environments, while Vancouver (Clark County) addresses cross-border treatment dynamics with Portland, Oregon. Telehealth has become essential for reaching rural communities in central and eastern Washington where in-person treatment options remain limited.

Types of Treatment Available in Washington

Washington offers every ASAM level of addiction care through DBHR-certified providers:

  • Medical Detoxification: Hospital-based and freestanding withdrawal management programs available in Seattle, Tacoma, Spokane, and other metro areas. Harborview Medical Center (UW Medicine) and Swedish Medical Center provide specialized detox services in King County.
  • Residential Treatment: Programs ranging from 30-day to 90+ day stays, including clinical settings in Seattle-Tacoma and nature-immersive residential facilities in the Cascades, Olympic Peninsula, and Puget Sound islands. Washington licenses residential programs at multiple ASAM levels of intensity.
  • Partial Hospitalization (PHP): Structured day programs offering 5-7 days per week of intensive treatment, available in Seattle, Bellevue, Tacoma, Spokane, and Olympia.
  • Intensive Outpatient (IOP): Flexible 3-5 day per week programs widely available across the state. IOP is the most utilized level of care in Washington, particularly in the Puget Sound region where clients often maintain employment during treatment.
  • Standard Outpatient: Weekly individual and group therapy through DBHR-certified agencies, community behavioral health centers, and private practices statewide.
  • Telehealth Services: Washington expanded telehealth for addiction treatment permanently following COVID-era flexibilities, critical for serving rural eastern Washington, the Olympic Peninsula, and island communities.

Washington is also known for specialized treatment tracks including programs for tech industry professionals in the Seattle-Bellevue corridor, nature-based and wilderness therapy programs utilizing the Pacific Northwest environment, LGBTQ+-affirming treatment (Seattle has one of the most robust LGBTQ+ recovery communities in the country), military and veteran-specific programs near Joint Base Lewis-McChord, and culturally responsive services for Native American and Alaska Native communities. 12-step programs and SMART Recovery meetings are widely available, and Washington has a strong contingency management and harm reduction integration across its treatment system.

Insurance & Apple Health Coverage in Washington

Washington's Medicaid program, Apple Health, provides comprehensive coverage for substance use disorder treatment. Washington expanded Medicaid under the Affordable Care Act and currently covers approximately 2.3 million residents — nearly one-third of the state's population. Apple Health SUD services are delivered through managed care organizations and include:

  • Inpatient detoxification and withdrawal management
  • Residential treatment (short-term and long-term)
  • Partial hospitalization programs
  • Outpatient and intensive outpatient treatment
  • Medication-assisted treatment (MAT) — buprenorphine, methadone, naltrexone
  • Peer recovery support services
  • Crisis stabilization and intervention
  • Recovery support services including housing assistance

The Health Care Authority administers Apple Health through five managed care organizations that coordinate SUD benefits. Washington does not require prior authorization for MAT initiation through Apple Health, and the state has invested in expanding the behavioral health workforce to reduce wait times for publicly funded treatment.

Private insurance plans in Washington must cover addiction treatment at parity with medical and surgical benefits under both the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and Washington's state parity law (RCW 48.44.341). The state Office of the Insurance Commissioner actively enforces parity compliance. Major insurers including Premera Blue Cross, Regence, UnitedHealthcare, Molina, and Kaiser Permanente cover the full continuum of SUD care.

For uninsured individuals, DBHR funds treatment through Behavioral Health Administrative Services Organizations (BH-ASOs) and community behavioral health agencies. The Washington Recovery Help Line (1-866-789-1511) provides free referrals, and SAMHSA's national helpline (1-800-662-4357) can connect individuals to local no-cost and sliding-scale treatment options.

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Willapa Behavioral Health and Wellness
+9 photos
Long Beach, WA 98631
360-642-3787
Nestled in the heart of Long Beach, WA, Willapa Behavioral Health and Wellness stands out as a dedicated rehabilitation center that focuses on individualized treatment for both substance use disorders and co-occurring mental health conditions. This facility prides itself on offering a range of services designed to meet the diverse needs of its clients. Among the options available are intensive outpatient programs and traditional outpatient care, which can include vital medications such as methadone, buprenorphine, or naltrexone. The center's approach is particularly noteworthy for its emphasis on therapeutic interventions, including anger management, brief intervention strategies, and cognitive behavioral therapy. Each treatment plan is carefully crafted to align with the unique needs of each individual, ensuring that everyone receives personalized support on their journey to recovery. Willapa also recognizes that specific circumstances require specialized attention. As such, they offer unique programs tailored for clients who have faced intimate partner violence, domestic violence, or those involved in forensic issues. This inclusive approach allows them to serve a wide range of clients, including adults and seniors, regardless of gender, fostering an environment of understanding and healing. At Willapa Behavioral Health and Wellness, the commitment to high-quality care and support is evident, making it a vital resource for anyone seeking to overcome their challenges and achieve lasting recovery.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Willapa Behavioral Health and Wellness
+9 photos
Raymond, WA 98577
360-942-2303
Nestled in the town of Raymond, WA, Willapa Behavioral Health and Wellness stands out as a robust rehabilitation center dedicated to providing specialized care for individuals grappling with substance use disorders, as well as those facing co-occurring mental health challenges. This facility offers a wide range of treatment options, including intensive outpatient programs and flexible outpatient services. For those seeking medication-assisted treatment, options such as methadone, buprenorphine, and naltrexone are also available. What truly sets Willapa apart is its commitment to personalized care. The center adopts various therapeutic approaches, like anger management, brief intervention techniques, and cognitive behavioral therapy, all tailored to meet the unique needs of each client. Additionally, there are specialized programs designed to support individuals who have endured situations of intimate partner violence, domestic violence, or have had involvement with the legal system. Willapa Behavioral Health and Wellness is dedicated to serving adults and seniors, regardless of gender, ensuring that everyone receives the high-quality care and support they need on their journey to recovery. Whether you or a loved one are looking for help, this center is equipped to provide comprehensive support every step of the way.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Yakama Nation Tiinawit Program
+9 photos
Toppenish, WA 98948
509-865-5121 x4455
Nestled in Toppenish, Washington, the Yakama Nation Tiinawit Program stands as a beacon of hope for individuals battling substance use issues. This facility provides both standard outpatient and regular outpatient treatment options, making it flexible enough to meet a wide range of needs. One of the key features of the program is its integration of several proven therapeutic approaches, including 12-step facilitation, brief intervention techniques, and cognitive behavioral therapy. This diverse array of methods ensures that each individual receives comprehensive care tailored to their unique situation. The Tiinawit Program is committed to addressing the needs of not just adults but also children and adolescents, regardless of gender. This inclusive philosophy underlines their focus on individualized treatment plans, which are designed to empower each client on their journey toward recovery. With its strong emphasis on quality care and personalized support, the Yakama Nation Tiinawit Program serves as an invaluable resource for anyone seeking effective and understanding addiction treatment services. Whether you’re looking for support for yourself or a loved one, this center is dedicated to fostering a compassionate environment for healing and growth.
Substance use treatment
YMCA of Greater Seattle
+9 photos
YMCA of Greater Seattle

Social Impact Center Behavioral Health

Auburn, WA 98002
206-382-5340
In Auburn, Washington, the YMCA of Greater Seattle stands out as a vital resource for individuals seeking help with substance use challenges. This facility is dedicated to providing a wide array of treatment options designed to meet the diverse needs of its community. Among its offerings are intensive outpatient programs, general outpatient services, and structured regular outpatient treatments, all specifically crafted for adults who are grappling with co-occurring substance use disorders alongside serious mental health issues. Additionally, the YMCA extends its support to children facing significant emotional disturbances. One of the center's strengths lies in its specialized approaches, which include 12-step facilitation, anger management, and brief intervention techniques. These methods are aimed at encouraging recovery and fostering healthy coping strategies. Furthermore, the YMCA of Greater Seattle recognizes the importance of tailored support for different age groups. With dedicated programs for adolescents and young adults, the facility ensures that individuals of all ages and genders receive the quality care they deserve in their recovery journeys. This commitment to inclusivity and personalized attention reflects the YMCA's mission to support everyone on their path to wellness.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
We Care Daily Clinics
+8 photos
Auburn, WA 98002
253-999-5750
Nestled in Auburn, WA, We Care Daily Clinics is dedicated to providing a holistic approach to substance use treatment specifically designed for both adults and young adults. The center offers a variety of programs, including intensive outpatient treatment and outpatient services, along with specialized options featuring methadone, buprenorphine, or naltrexone treatments. At We Care Daily Clinics, the focus is on a range of therapeutic techniques such as brief interventions, cognitive behavioral therapy, and motivational incentives. This diverse approach allows the facility to effectively serve adult men and women, including clients who have grappled with trauma. What sets this clinic apart is its commitment to tailoring programs to meet the unique needs of each individual. By doing so, they strive to provide high-quality care and unwavering support for anyone on the path to recovery from addiction.
Substance use treatment
Yakima Neighborhood Health Services
+8 photos
Yakima, WA 98901
509-454-4143
Located in Yakima, Washington, Yakima Neighborhood Health Services is dedicated to providing specialized treatment for substance use through a range of outpatient programs. These options include treatments utilizing methadone or buprenorphine, as well as naltrexone, ensuring that each individual has access to the support they need. In addition to these medication-assisted treatments, the facility also offers regular outpatient therapy, anger management sessions, brief interventions, and cognitive behavioral therapy approaches. What sets Yakima Neighborhood Health Services apart is their commitment to providing personalized care. They cater to various groups, including active duty military personnel, adolescents, adult men, and adults and seniors of all genders. The focus here is on creating individualized treatment plans that meet the unique needs of each patient, which helps foster a sense of trust and support. For anyone in the Yakima area searching for effective and thorough addiction treatment services, Yakima Neighborhood Health Services stands as a reliable and compassionate choice, dedicated to helping individuals reclaim their lives through quality care and tailored support.
Substance use treatment
West Sound Treatment Center
+7 photos
Poulsbo, WA 98370
360-876-9430
West Sound Treatment Center, situated in the charming town of Poulsbo, WA, is dedicated to providing a thorough approach to substance use treatment for both adults and young adults. This facility offers a range of treatment options designed to cater to various needs, including intensive outpatient programs, standard outpatient services, and transitional housing support for those on the path to recovery. At West Sound Treatment Center, the focus is on key therapeutic methods such as 12-step facilitation, brief interventions, and cognitive behavioral therapy. Each program is thoughtfully customized to align with the unique needs of the individuals they serve, fostering a more personalized recovery journey. What sets this center apart is its expertise in helping clients who have navigated the challenges of trauma as well as those involved in the criminal justice system. They offer their services to both male and female clients, ensuring that everyone receives the care and support they need in a safe and nurturing environment. In every interaction, the team is committed to delivering high-quality, compassionate care, reinforcing the center's reputation as a welcoming space for healing and growth.
Substance use treatmentTransitional housing, halfway house, or sober home
West Sound Treatment Center
+4 photos
Port Orchard, WA 98367
360-876-9430
Nestled in the heart of Port Orchard, WA, the West Sound Treatment Center is committed to providing a wide array of substance use treatment services designed to meet diverse needs. Whether you're seeking intensive outpatient treatment, outpatient care, or ongoing regular outpatient support, this facility has you covered. West Sound stands out with its specialized approaches, including 12-step facilitation, brief intervention, and cognitive behavioral therapy. They understand that recovery is not one-size-fits-all, which is why they also offer tailored programs for individuals who have faced trauma, as well as for those engaged with the criminal justice system. Welcoming adult and young adult clients of all genders, the center prioritizes a supportive environment. They offer various living arrangements to ease the transition into recovery, including transitional housing, halfway houses, and sober living homes. With a dedication to delivering quality care rooted in evidence-based practices, the West Sound Treatment Center is truly focused on guiding individuals as they navigate their personal journeys to recovery.
Substance use treatmentTransitional housing, halfway house, or sober home
West Sound Treatment Center
+2 photos
Bremerton, WA 98310
360-876-9430
Situated in Bremerton, WA, the West Sound Treatment Center is dedicated to providing a comprehensive array of substance use treatment options specifically designed for both adults and young adults. At this facility, you'll find a variety of programs including intensive outpatient treatment, outpatient care, and standard outpatient services. These programs emphasize effective methods such as 12-step facilitation, brief interventions, and cognitive behavioral therapy, all tailored to support individuals on their recovery journey. In addition to general treatment offerings, the center also recognizes the unique challenges faced by certain populations. As such, it provides specialized programs for those who have endured trauma and those navigating the complexities of the criminal justice system. This tailored approach ensures that clients receive the specific support they need. Furthermore, West Sound Treatment Center goes beyond traditional therapy by offering transitional housing, halfway houses, and sober living options. This helps clients bridge the gap between intensive treatment and independent living, supporting their long-term recovery. To foster an environment of personalized care, the center operates separate programs for female and male clients. This thoughtful distinction ensures that everyone receives the individualized support and resources necessary for successful rehabilitation. Whether you're seeking help for yourself or a loved one, you can find a welcoming and supportive space at West Sound Treatment Center.
Substance use treatmentTransitional housing, halfway house, or sober home
Youth Eastside Services (YES)
Redmond, WA 98052
425-747-4937
Situated in Redmond, Washington, Youth Eastside Services (YES) is dedicated to offering outpatient treatment for substance use, along with specialized care for individuals grappling with co-occurring mental health disorders. The facility employs a variety of evidence-based approaches, including cognitive behavioral therapy, motivational interviewing, and relapse prevention techniques, ensuring that clients receive well-rounded support. YES is committed to supporting a diverse range of individuals—adults, children, adolescents, and young adults alike—with tailored programs designed specifically for those who have faced trauma or are struggling with concurrent disorders. The emphasis here is on delivering high-quality, comprehensive care that not only addresses the symptoms of substance use but also the underlying mental health issues. What sets YES apart is its welcoming environment for both male and female clients, fostering a sense of community and understanding among those seeking effective rehabilitation services. This supportive atmosphere plays a crucial role in assisting individuals on their journey toward recovery and well-being.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
West End Outreach Services - Placeholder
West End Outreach Services

Clallam County Hospital District 1

Forks, WA 98331
360-374-5011
Situated in the heart of Forks, WA, West End Outreach Services is dedicated to providing a holistic approach to addiction treatment for both adults and children/adolescents grappling with co-occurring mental health challenges. This center stands out for its diverse range of programs, which include intensive outpatient, outpatient, and regular outpatient treatment options. Drawing on evidence-based methods, they employ therapeutic techniques such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, tailoring their strategies to meet the distinct needs of each individual. West End Outreach Services specializes in assisting clients with dual diagnoses, effectively catering to both men and women who are on their journey to recovery. With a solid commitment to delivering quality care, the center prioritizes personalized treatment plans that address not only substance use disorders but also underlying emotional disturbances. This thoughtful approach fosters a nurturing and supportive environment, making West End Outreach Services a reliable and compassionate resource for anyone seeking to reclaim their life from addiction and mental health issues.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Western Psychological and Counseling - Placeholder
Vancouver, WA 98662
360-906-1190
Nestled in the heart of Vancouver, WA, Western Psychological and Counseling is dedicated to providing specialized treatment programs for substance use that are thoughtfully designed to meet the diverse needs of various age groups and genders. The center offers a range of options, including intensive outpatient, outpatient, and standard outpatient treatments, all grounded in evidence-based practices. These approaches encompass techniques such as 12-step facilitation, brief interventions, and cognitive behavioral therapy, ensuring that clients receive the most effective support for their recovery journey. What truly sets Western Psychological and Counseling apart is its commitment to addressing unique challenges faced by specific groups. For instance, they have tailored programs specifically for adolescents, individuals grappling with both mental health issues and substance use disorders, as well as those dealing with concurrent pain management and substance use challenges. This comprehensive care model not only underscores the facility's dedication to individualized treatment, but also its broader mission to foster recovery for all who seek assistance with addiction. With a strong focus on personalized care and a genuine commitment to quality, Western Psychological and Counseling is a beacon of hope for those ready to embark on their path to recovery.
Substance use treatment
Whatcom Community Detox - Placeholder
Bellingham, WA 98226
360-812-7220
Situated in Bellingham, WA, Whatcom Community Detox provides comprehensive residential detoxification services with a strong emphasis on personalized care. This facility is dedicated to offering 24-hour residential support for both adults and young adults who are on their journey to overcome addiction. What sets this center apart is its commitment to individualized treatment, utilizing a variety of proven methods such as 12-step facilitation, brief intervention, and motivational interviewing. These techniques are carefully tailored to meet the unique needs of each client, ensuring that everyone receives the support they require for their specific circumstances. Moreover, Whatcom Community Detox features specialized programs designed to accommodate both male and female clients. This focus on gender-specific care helps create a more comfortable and understanding environment, which is crucial for individuals embarking on the path to recovery. With an unwavering dedication to quality care and a supportive atmosphere, Whatcom Community Detox aims to empower individuals to achieve lasting recovery from substance abuse challenges.
Detoxification
Willapa Behavioral Health and Wellness - Placeholder
Montesano, WA 98563
360-642-3787
Located in Montesano, WA, Willapa Behavioral Health and Wellness is dedicated to providing a full spectrum of substance use treatment and specialized care for individuals grappling with both substance use disorders and serious mental health challenges. Understanding that recovery is a unique journey for each person, the center offers a variety of programs, including intensive outpatient therapy and flexible outpatient services. Clients can also access tailored treatment with options such as methadone, buprenorphine, or naltrexone, ensuring that care is customized to meet individual needs. The team at Willapa emphasizes a well-rounded approach to recovery, incorporating techniques like anger management, brief interventions, and cognitive behavioral therapy into their programs. Furthermore, they offer distinctive support for those who have faced intimate partner violence or domestic violence, as well as programs designed for individuals involved with the criminal justice system. Catering to adults and seniors across all genders, Willapa Behavioral Health and Wellness strives to create a nurturing environment where clients can receive high-quality care as they work toward recovery.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
YFA Connections - Placeholder
Spokane, WA 99202
509-532-2000 x110
In Spokane, WA, YFA Connections stands out as a dedicated provider of comprehensive substance use treatment services. What sets this center apart is its expertise in addressing the unique challenges faced by individuals who are dealing with both substance use disorders and serious mental health conditions. YFA Connections focuses on a variety of program types, including intensive outpatient treatment, traditional outpatient services, and regular outpatient programs. These options are designed to meet the diverse needs of their clients, ensuring that everyone receives the right level of care. The center employs evidence-based practices, incorporating techniques such as 12-step facilitation, brief interventions, and cognitive behavioral therapy into its treatment plans. Catering to both adults and young adults, YFA Connections is particularly skilled in providing specialized care for those facing co-occurring disorders. The facility is welcoming to individuals of all genders, promoting an inclusive atmosphere where everyone can feel safe and supported on their journey to recovery. Each person's path is treated with the utmost respect and care, as the staff is committed to delivering personalized support tailored to the unique experiences and needs of each client.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Youth Eastside Services (YES) - Placeholder
Kirkland, WA 98034
425-827-4937
Nestled in Kirkland, WA, Youth Eastside Services (YES) is a vital resource that provides outpatient treatment for individuals struggling with substance use and co-occurring mental health issues, serving both adults and children/adolescents alike. The center employs a range of effective therapeutic strategies such as cognitive behavioral therapy, motivational interviewing, and relapse prevention techniques. A particular emphasis is placed on assisting clients who have experienced trauma as well as those facing the challenges of co-occurring disorders. YES extends its services to both male and female clients, offering specially designed programs that cater to the unique needs of adolescents and young adults. With a strong commitment to quality care grounded in evidence-based practices, this facility stands devoted to guiding individuals on their path to recovery, ensuring that each person receives the personalized support they need to thrive.
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Treatment Highlights in Washington

Approximately 900 treatment facilities with progressive harm reduction integration statewide
Nation-leading syringe service programs and naloxone distribution through Seattle's public health infrastructure
Nature-based and wilderness therapy programs utilizing Pacific Northwest forests, mountains, and coastline
Specialized tech industry professional programs in the Seattle-Bellevue corridor

Frequently Asked Questions About Treatment in Washington

Medical Disclaimer

The information on this page is for educational purposes and is not a substitute for professional medical advice. If you or someone you know is experiencing a substance use crisis, call the SAMHSA National Helpline at 1-800-662-4357 (free, confidential, 24/7). For immediate danger, call 911 or the 988 Suicide & Crisis Lifeline by dialing 988.