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Directory · Massachusetts SAMHSA-verified · Updated September 2026

Rehab Centers in Massachusetts

614 SAMHSA-verified addiction treatment facilities across 8+ cities in the Northeast region. Worcester alone lists 38 centers. Filter by insurance carrier, level of care, or substance — then call the program directly or our free helpline if you want help narrowing down.

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Quick answer — rehab in Massachusetts

Massachusetts has 614 licensed addiction treatment centers sourced from the SAMHSA federal registry. Medicaid is expanded here, covering detox, residential, IOP, and MAT programs for eligible residents. Top treatment hubs: Worcester (38 centers), Boston (25 centers), Springfield (22 centers), New Bedford (22 centers). Filter by insurance carrier, level of care, or substance, or call (833) 567-5838 for a free placement consultation.

Top cities for treatment in Massachusetts

Three to eight metros concentrate most Massachusetts addiction treatment capacity. Pick a city to see its full facility list with insurance filters.

Massachusetts treatment centers

All 614 verified Massachusetts listings. Showing 457–480 below; use the button on the right to filter by insurance, level of care, or substance.

Filter all 614 →
R
Verified

River Valley Counseling Center Holyoke

Holyoke, MA
Outpatient

Serving the Holyoke, MA area, River Valley Counseling Center Holyoke offers outpatient care designed around each client's needs and stage of recovery. The facility provides levels of care including ou…

Medicare Medicaid +3 more
All MA → View details →
C
Verified

Cornerstone Recovery

Ware, MA
Residential

Cornerstone Recovery is a treatment provider in Ware, MA, delivering residential rehab and co-occurring mental health care with an individualized, evidence-informed approach. The facility provides lev…

TRICARE Private insurance +1 more
All MA → View details →
S
Verified

South Bay Community Services - Weymouth Outpatient

South Weymouth, MA

Located in South Weymouth, MA, South Bay Community Services - Weymouth Outpatient offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of…

All MA → View details →
B
Verified

Bridgewell Counseling Service Lynn

Lynn, MA

Bridgewell Counseling Service Lynn is a treatment provider in Lynn, MA, delivering co-occurring mental health and outpatient care with an individualized, evidence-informed approach. The facility provi…

All MA → View details →
F
Verified

Fenway Health Fenway South End

Boston, MA · JCAHO

Located in Boston, MA, Fenway Health Fenway South End offers co-occurring mental health and outpatient care for people seeking help with substance use and related challenges. Care here features levels…

All MA → View details →
D
Verified

Dr Solomon Carter Fuller Mental Health

Boston, MA
Inpatient

Located in Boston, MA, Dr Solomon Carter Fuller Mental Health offers residential rehab care for people seeking help with substance use and related challenges. The facility provides levels of care incl…

Medicare Medicaid +1 more
All MA → View details →
C
Verified

CHC of Cape Cod Addiction Program

Mashpee, MA
Outpatient MAT

Serving the Mashpee, MA area, CHC of Cape Cod Addiction Program offers co-occurring mental health and outpatient care designed around each client's needs and stage of recovery. The facility provides l…

Medicare Medicaid +3 more
All MA → View details →
N
Verified

New England Counseling Services

Devens, MA · JCAHO
Outpatient

New England Counseling Services provides co-occurring mental health and outpatient care in Devens, MA, supporting individuals and families working toward lasting recovery. The program offers levels of…

Medicaid TRICARE +2 more
All MA → View details →
V
Verified

VA Central Western Massachusetts Worcester CBOC

Worcester, MA

Located in Worcester, MA, VA Central Western Massachusetts Worcester CBOC offers outpatient care for people seeking help with substance use and related challenges. Care here features levels of care in…

All MA → View details →
R
Verified

River Valley Counseling Center Satellite Office Chicopee

Chicopee, MA
Outpatient

Serving the Chicopee, MA area, River Valley Counseling Center Satellite Office Chicopee offers outpatient care designed around each client's needs and stage of recovery. Care here features levels of c…

Medicare Medicaid +3 more
All MA → View details →
R
Verified

River Valley Counseling Center Satellite Office Springfield

Springfield, MA
Outpatient

River Valley Counseling Center Satellite Office Springfield provides outpatient care in Springfield, MA, supporting individuals and families working toward lasting recovery. The facility provides leve…

Medicare Medicaid +3 more
All MA → View details →
R
Verified

Riverside OP Center at Norwood

Norwood, MA
Outpatient

Located in Norwood, MA, Riverside OP Center at Norwood offers outpatient care for people seeking help with substance use and related challenges. Care here features levels of care including outpatient …

Medicare Medicaid +2 more
All MA → View details →
V
Verified

VOA Behavioral Health Services

Quincy, MA
Outpatient

Serving the Quincy, MA area, VOA Behavioral Health Services offers outpatient care designed around each client's needs and stage of recovery. Care here features levels of care including outpatient and…

Medicare Medicaid +2 more
All MA → View details →
B
Verified

Brien Center MH/Subst Abuse Servs/Satellite

Pittsfield, MA
Outpatient

Located in Pittsfield, MA, Brien Center MH/Subst Abuse Servs/Satellite offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of care inclu…

Medicare Medicaid +3 more
All MA → View details →
A
Verified

Advocates Community Counseling Harvard

Harvard, MA
Outpatient

Advocates Community Counseling Harvard provides co-occurring mental health and outpatient care in Harvard, MA, supporting individuals and families working toward lasting recovery. The program offers l…

Medicare Medicaid +2 more
All MA → View details →
S
Verified

SSTAR Lifeline Program

Fall River, MA · JCAHO
Outpatient MAT

SSTAR Lifeline Program is a treatment provider in Fall River, MA, delivering co-occurring mental health and outpatient care with an individualized, evidence-informed approach. The facility provides le…

Medicare Medicaid +3 more
All MA → View details →
S
Verified

ServiceNet OP Behavioral Center Northampton Clinic

Northampton, MA
Outpatient

Located in Northampton, MA, ServiceNet OP Behavioral Center Northampton Clinic offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of ca…

Medicare Medicaid +3 more
All MA → View details →
A
Verified

Arbour Counseling Services Jamaica Plain

Jamaica Plain, MA · JCAHO
Outpatient IOP MAT

Arbour Counseling Services Jamaica Plain is a treatment provider in Jamaica Plain, MA, delivering outpatient care with an individualized, evidence-informed approach. The program offers levels of care …

Medicare Medicaid +2 more
All MA → View details →
C
Verified

Clinical and Support Options

Springfield, MA
Outpatient MAT

Serving the Springfield, MA area, Clinical and Support Options offers outpatient and detox care designed around each client's needs and stage of recovery. The facility provides levels of care includin…

Medicare Medicaid +3 more
All MA → View details →
B
Verified

Behavioral Health Network (BHN) Carson Center Westfield Outpatient Trt

Westfield, MA
Outpatient

Behavioral Health Network (BHN) Carson Center Westfield Outpatient Trt is a treatment provider in Westfield, MA, delivering outpatient care with an individualized, evidence-informed approach. The faci…

Medicare Medicaid +2 more
All MA → View details →
L
Verified

Lahey Health Behavioral Services Beverly Clinic

Beverly, MA
Outpatient

Lahey Health Behavioral Services Beverly Clinic provides co-occurring mental health and outpatient care in Beverly, MA, supporting individuals and families working toward lasting recovery. The program…

Medicare Medicaid +3 more
All MA → View details →
I
Verified

Ignite Recovery

Fall River, MA
Outpatient IOP MAT

Ignite Recovery is a treatment provider in Fall River, MA, delivering co-occurring mental health and outpatient care with an individualized, evidence-informed approach. Care here features levels of ca…

Private insurance Self-pay
All MA → View details →
B
Verified

Bay State Community Services

Quincy, MA
Outpatient

Bay State Community Services provides outpatient care in Quincy, MA, supporting individuals and families working toward lasting recovery. The facility provides levels of care including outpatient and …

Medicare Medicaid +2 more
All MA → View details →
S
Verified

SOAR

New Bedford, MA
Outpatient

Located in New Bedford, MA, SOAR offers co-occurring mental health and outpatient care for people seeking help with substance use and related challenges. The program offers levels of care including co…

Medicare Medicaid +2 more
All MA → View details →

Massachusetts treatment in numbers

What the 614 SAMHSA-listed facilities in our Massachusetts directory actually offer — counted from each program's federal listing, refreshed monthly.

MHPAEA parity insurance coverage
Under MHPAEA, most commercial plans in Massachusetts cover addiction treatment at parity with medical care.

Insurance coverage in Massachusetts

Medicaid Expanded under ACA

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), commercial insurers in Massachusetts must cover addiction treatment at parity with medical care. Because Massachusetts expanded Medicaid under the ACA, residents at or below 138% of the federal poverty line have broad coverage for detox, residential, outpatient, and MAT programs.

Filter centers by specific carrier to see in-network options:

Typical costs without insurance

Five self-pay ranges map to the ASAM care levels — from $1,000/month outpatient to $80,000/month luxury residential. Massachusetts programs cluster toward the upper end in major metros and the lower end in rural areas. Sliding-scale options are available in roughly 15% of listings.

Level of care Typical range
Outpatient$1,000–$3,000/month
IOP / PHP$3,500–$10,000/month
30-day residential$5,000–$20,000
90-day inpatient$12,000–$60,000
Luxury residential$30,000–$80,000/mo

Massachusetts policy & overdose data

Four public-health indicators that directly affect treatment access and overdose risk in Massachusetts: overdose rate, substance use prevalence, naloxone availability, and Good Samaritan legal protection. Reviewed September 2026; overdose figures reflect the most recent finalized state data.

Overdose rate
14 /100K

978 unintentional drug overdose deaths in 2024.

SUD prevalence
8.7%

Adults with substance use disorder (NSDUH 2023).

Naloxone access
standing order

Free from pharmacies, health departments, and harm-reduction orgs.

Good Samaritan Law
Yes

Legal protection when calling 911 during overdose.

In crisis? Help is immediate.

Immediate danger: call 911. Suicide or mental-health emergency: dial or text 988. Free SAMHSA treatment referrals 24/7: 1-800-662-HELP (4357). Placement help: (833) 567-5838.

Rehab centers in Massachusetts that accept MassHealth

Massachusetts Medicaid — MassHealth — is among the most comprehensive in the country for addiction care, and the state expanded Medicaid under the ACA. Of the 614 facilities in our Massachusetts directory, 380 list Medicaid/MassHealth among accepted payments. MassHealth covers acute treatment services (detox), clinical stabilization, residential rehab, intensive outpatient (IOP), and all three MAT medications, authorized on medical necessity — asking for “detox Massachusetts MassHealth” at intake is routine, and programs verify eligibility same-day. Call the program directly or our helpline at (833) 567-5838 for a same-day MassHealth check.

Free rehab in Massachusetts and the statewide detox beds list

Massachusetts runs one of the strongest public treatment systems in the U.S. through the Bureau of Substance Addiction Services (BSAS): state-funded detox, residential, and outpatient programs serve residents regardless of insurance. The fastest route to a bed is the Massachusetts Substance Use Helpline at (800) 327-5050 (helplinema.org) — free, confidential, 24/7, with live availability across the state; it is the practical “Massachusetts detox beds list” people search for, updated in real time. Free detox in Massachusetts is reachable the same day in most regions; 123 detox programs are listed in this directory.

How much does rehab cost in Massachusetts — and how to pay

Massachusetts sticker prices run above the national average: medical detox roughly $300–$1,000 per day, standard inpatient rehab $15,000–$32,000 for 30 days, IOP $3,500–$10,000 per course, and outpatient counseling $60–$175 per session (industry estimates). Most residents pay far less: the state’s 2014 landmark parity and addiction laws plus federal parity require commercial plans — including Blue Cross Blue Shield of Massachusetts — to cover addiction treatment at parity with medical care, MassHealth covers low-income residents comprehensively, and BSAS fills the gaps. See paying for treatment, Medicaid, Aetna, and UnitedHealthcare.

Are overdose deaths in Massachusetts going down?

Yes — to the lowest level in over a decade. Massachusetts recorded 978 opioid-related overdose deaths in 2024, down 37% from 1,336 in 2023 — the first year under 1,000 since 2013, with declines across every race and ethnicity, per the Massachusetts Department of Public Health. Boston saw a 38% decline. DPH credits expanded naloxone access (available at Massachusetts pharmacies without a personal prescription under a statewide standing order), broader MAT availability, and harm-reduction outreach. The state’s Good Samaritan law protects people who call 911 during an overdose.

Rehab in Boston, Worcester, Springfield, and the South Coast

Treatment is spread more evenly across Massachusetts than in most states. Central MA is anchored by Worcester — the state’s largest cluster with 38 centers. Greater Boston lists Boston (25), Quincy (12), and Framingham (14) in the MetroWest. Western MA runs through Springfield (22), and the South Coast — the region hit hardest by the opioid crisis — through New Bedford (22), Brockton (19), and Fall River (13). Statewide placement through the (800) 327-5050 helpline works regardless of your home city.

Reviewed by the RehabFlow Editorial Team · sourced from state health departments and the SAMHSA registry · last reviewed September 2026

Support at every stage of treatment in Massachusetts

Getting into a program is one step of a longer arc. These guides cover what happens before admission, how families can help, and what keeps recovery going after discharge.

Admission & what to expect

Intake assessment, medical screening, the first 72 hours, phone rules, and a typical day in treatment — knowing the sequence lowers the fear of starting.

Family resources

If your loved one in Massachusetts refuses help, evidence-based approaches like CRAFT engage 64–74% of treatment-refusing people — far more than confrontation.

Aftercare & staying sober

The transition home is the highest-relapse window. Aftercare planning, sober living, and knowing the relapse warning signs measurably improve long-term outcomes.

How to get started in Massachusetts

Three steps separate "I need help" from "I’m in a program." Most placements finish step three within 24–72 hours — faster with our helpline.

1

Identify the right level of care

Two questions sort it: can you stop safely for 24 hours without medical help (if no, start with medical detox), and is home stable (if no, residential; if yes, outpatient or IOP).

2

Verify your insurance coverage

Under MHPAEA, commercial plans cover addiction care at parity with medical. Use the form below for a 5-minute confidential benefits check, or call us directly.

3

Contact a center & admit

Pick a facility from the listing above or let a placement specialist narrow down 614 options by your insurance, location, and preferred level of care — free, confidential.

Free insurance benefits check

A licensed placement specialist will verify in-network options in Massachusetts, typical out-of-pocket costs, and level-of-care eligibility. Results in under 10 minutes.

No email collected. Your answers help the specialist shortlist centers faster — they’re not stored or shared.

Finding treatment in Massachusetts

All 614 facilities listed above are pulled from the federal SAMHSA Behavioral Health Treatment Services Locator, which every licensed addiction and mental-health program must report to. We sync the roster monthly, cross-check contact numbers quarterly, and drop facilities that close, disconnect, or leave the SAMHSA registry within a single sync cycle. Each listing carries the same three baseline checks: the center is active in SAMHSA, its phone number answered on our last call, and its level-of-care and insurance tags mirror what the facility self-reports federally.

The right level of care depends on two clinical variables placement specialists assess first: withdrawal severity and home-environment stability. If alcohol, benzodiazepines, or opioids have been used daily in the past month, medical detox is usually required before any other step — withdrawal from those three classes can be dangerous without supervision. If the home environment is supportive, outpatient or IOP usually covers it. If home is chaotic or actively triggering, residential makes the rest of treatment possible by removing the immediate access problem.

How Massachusetts Medicaid handles rehab

Because Massachusetts expanded Medicaid under the Affordable Care Act, adults earning at or below 138% of the federal poverty line qualify automatically. Coverage includes detox, residential, PHP/IOP, standard outpatient, and MAT (methadone, buprenorphine, naltrexone). Filter the directory by Medicaid to see centers in the Massachusetts provider network, or call (833) 567-5838 for a free, zero-commitment benefits check.

What to check on any Massachusetts facility

Three questions separate legitimate programs from pay-to-play marketers. First, is the center accredited by JCAHO or CARF? Both are national bodies that audit clinical protocols, medication handling, and patient outcomes — accreditation is not required by law but is the strongest non-government quality signal. Second, does the center employ licensed clinicians (LCSW, LMFT, LPC, LADC, MD) rather than only "recovery coaches"? Third, does the center disclose outcomes data — completion rates, 30/90/365-day sobriety rates, readmission rates? For independent benchmarks by treatment type, review NIDA’s research-based principles.

Sources & methodology

  1. SAMHSA — Behavioral Health Treatment Services Locator. findtreatment.gov. Primary source for facility records (accessed September 2026).
  2. SAMHSA — 2023 National Survey on Drug Use and Health (NSDUH). Overdose rates, SUD prevalence.
  3. CDC — WONDER database. Opioid death counts.
  4. Kaiser Family Foundation — Medicaid expansion tracker, state-by-state policy data.
  5. Mental Health Parity and Addiction Equity Act (MHPAEA) — 42 U.S.C. § 300gg-26. U.S. Department of Labor summary.

Last verified September 2026. Directory sync: monthly. This page is informational and not a substitute for professional medical advice. Always call 911 in an emergency.

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RehabFlow catalog data

What our directory data shows

These figures come from our own catalog of 21,568 U.S. treatment facilities across 54 states and territories and 4,542 cities — counted directly from the listings on this site, not quoted from another source.

21,568
facilities in the catalog, each with its own listing page
4,836
list Joint Commission accreditation (22% of the catalog)
54
states & territories covered, 4,542 cities

Levels of care available in this state

Of the 614 facilities we list here across 176 cities:

136
Residential Rehab
262
Co-Occurring Mental Health
437
Outpatient
39
Sober Living
83
Detox

How we counted — and what we do not publish

Method: counts are computed directly from the 21,568 facility listings in the RehabFlow catalog, which are built from SAMHSA-sourced facility records plus each program’s own published service list. A facility is counted once per category regardless of how many locations it operates. Figures are recalculated daily, so they move as the catalog is updated. State counts reflect the facilities we list in this state and are recalculated as listings are added or updated.

What we deliberately do not publish: we do not report percentages of facilities by insurance carrier. Carrier fields in bulk facility records are self-reported and frequently list every major insurer, which would make any “X% accept this plan” figure misleading. Insurance acceptance changes contract by contract, so it has to be verified per facility — call the program or (833) 567-5838 and we will check it for you.

FAQ — rehab in Massachusetts

How many rehab centers are in Massachusetts?
Massachusetts has 614 licensed treatment facilities serving a population of 7,001,000. That is approximately 8.8 facilities per 100,000 residents. Every listing is sourced monthly from the SAMHSA Behavioral Health Treatment Services Locator and re-verified quarterly.
Does Massachusetts Medicaid cover rehab?
Massachusetts expanded Medicaid under the Affordable Care Act. Residents at or below 138% of the federal poverty line have broad coverage for detox, residential, IOP, outpatient, and MAT programs. Filter by Medicaid in our directory to find in-network centers, or call (833) 567-5838 for a free benefits check.
What is the overdose rate in Massachusetts?
Massachusetts has an overdose rate of 14 deaths per 100,000 residents. In 2024, the state reported 978 opioid-related overdose deaths. Substance use disorder prevalence among adults is 8.7% (NSDUH 2023). Fentanyl now accounts for the majority of opioid deaths nationwide. Carry naloxone — it is available in most pharmacies without prescription.
What are the top cities for rehab in Massachusetts?
The top cities for addiction treatment in Massachusetts by facility count are Worcester (38 centers), Boston (25 centers), Springfield (22 centers), New Bedford (22 centers). Each city page includes the full facility listing with insurance filters and level-of-care options. Click any city above or call (833) 567-5838 for a shortlist tailored to your location.
Does Massachusetts have a Good Samaritan Law?
Yes — Massachusetts has enacted a Good Samaritan Law that shields bystanders from prosecution for minor drug-possession offenses when they call 911 during an overdose. Keep naloxone (Narcan) on hand if someone close is using. Call (833) 567-5838 if you need help finding treatment now.
How to find free rehab in Massachusetts?
Free and low-cost treatment in Massachusetts: state-funded programs, SAMHSA grant-funded centers, expanded Medicaid coverage, sliding-scale nonprofits, and tribal health programs. Call the SAMHSA National Helpline (1-800-662-HELP) for free referrals, or (833) 567-5838 for a personalized shortlist.
How much does rehab cost in Massachusetts without insurance?
Typical self-pay in Massachusetts: outpatient $1,000–$3,000/month, 30-day residential $5,000–$20,000, 90-day inpatient $12,000–$60,000, luxury residential $30,000–$80,000/month. Sliding-scale options are available in roughly 15% of listings. Call (833) 567-5838 for cost guidance specific to your situation.
What kinds of treatment centers in Massachusetts are listed here?
All 614 listings are treatment centers in Massachusetts sourced from the SAMHSA federal registry and re-verified quarterly. The directory covers the full range of Massachusetts rehab centers: acute treatment services (detox), clinical stabilization, residential rehab, PHP, intensive outpatient (IOP), outpatient counseling, and MAT — including alcohol rehab centers in Massachusetts and recovery centers in Massachusetts focused on long-term support.
Are there rehab centers in Massachusetts that accept MassHealth?
Yes — 380 of the 614 Massachusetts facilities in this directory list Medicaid/MassHealth among accepted payments. MassHealth covers detox, residential treatment, outpatient care, and all three MAT medications on medical necessity. Call (833) 567-5838 for a same-day eligibility check.
What is Section 35 in Massachusetts?
Section 35 (M.G.L. c.123 §35) is the Massachusetts law that lets a family member, physician, or police officer petition a district court to order involuntary substance-use treatment — up to 90 days — when someone poses a serious risk of harm from alcohol or drug use. The court orders an evaluation the same day, and if granted, placement goes to a designated Section 35 facility. It is a serious legal step families usually consider after voluntary options fail; see our guide on court-ordered vs voluntary treatment.
Where are Section 35 facilities in Massachusetts located?
Section 35 commitments go to state-designated facilities — separate men’s and women’s programs operated under DPH and other agencies (locations change as capacity shifts, and courts assign the placement; you cannot pick the facility in advance). The official mass.gov Section 35 page lists current designated programs. For voluntary placement — always the better first path — call (800) 327-5050 or our helpline.
Is there a Massachusetts detox beds list?
The closest thing to a live statewide detox beds list is the Massachusetts Substance Use Helpline at (800) 327-5050 (helplinema.org), which tracks real-time availability across BSAS-funded programs. This directory lists 123 Massachusetts detox programs; calling the helpline or the program directly confirms same-day openings.
Is Mass Rehab (MRC) a drug rehab program?
No. Mass Rehab — the Massachusetts Rehabilitation Commission (MRC) — is the state vocational-rehabilitation agency helping residents with disabilities find employment and independent living support, not addiction treatment. For drug and alcohol treatment, use the addiction-specific Massachusetts rehab centers in this directory or call (800) 327-5050.
Is there free rehab in Massachusetts?
Yes. BSAS-funded programs provide free detox, residential, and outpatient treatment for uninsured and under-insured residents — access runs through the Massachusetts Substance Use Helpline at (800) 327-5050, free and confidential, 24/7. MassHealth enrollment (often same-day at hospitals) opens the full treatment continuum at no or minimal cost.
How do I choose the best rehab center in Massachusetts?
Match the level of care to clinical need (detox first if withdrawal is dangerous), verify BSAS licensure and accreditation (Joint Commission or CARF), confirm MassHealth or commercial-plan participation, and prefer programs offering MAT — 170 Massachusetts facilities provide it. Every listing here is SAMHSA-verified.
Are there inpatient rehab centers in Massachusetts?
Yes — 113 Massachusetts facilities offer residential or inpatient care, concentrated in Worcester, Boston, and the South Coast. MassHealth and commercial plans cover inpatient stays on medical necessity under state and federal parity laws.
Are overdose deaths in Massachusetts going down?
Yes — Massachusetts recorded 978 opioid-related overdose deaths in 2024, down 37% from 1,336 in 2023 and the first year under 1,000 since 2013, with declines across all races and ethnicities (DPH). Naloxone is available at Massachusetts pharmacies without a personal prescription — carrying it saves lives.

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Nearby states

Five reasons residents consider cross-border programs: wider provider networks, specialized luxury or gender-specific facilities, insurance portability via MHPAEA, out-of-state privacy, and shorter waitlists.

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Published by RehabFlow
SAMHSA-sourced directory · September 2026

Listings are sourced from the SAMHSA Behavioral Health Treatment Services Locator and cross-checked against public CDC and NIDA data. This page is informational, not medical advice — see our editorial policy for how we verify and update facts.

SAMHSA-verified data
Clinically reviewed
Updated September 2026
Editorial Policy ›
21,568 SAMHSA-verified centers · updated monthly