Substance Use Treatment in Astoria, NY

Reality House Inc

What Does Reality House Inc Offer?

Reality House Inc is a substance use treatment facility at 31-75 23rd Street, 4th Floor, Astoria, New York, offering outpatient treatment. It accepts Medicaid, Medicare, private insurance, TRICARE, state-financed insurance, IHS/tribal funds and self-pay.

Reviewed by Michael Rupe ·October 2, 2026

31-75 23rd Street, 4th Floor
Astoria, NY 11106

Listed in SAMHSA's FindTreatment.gov, checked October 2026. A listing is not an endorsement. Call to confirm services, openings and costs before you go.

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Treatment facility (SAMHSA listing)This facility

Types of Care at Reality House Inc

Outpatient
Regular outpatient treatment

Payment, Insurance and Help Paying

Federal, or any government funding for substance use treatment programs
IHS/Tribal/Urban (ITU) funds
Medicare
Medicaid
Federal military insurance (e.g., TRICARE)
Private health insurance
Cash or self-payment
State-financed health insurance plan other than Medicaid
SAMHSA funding/block grants

Medication Treatment

Accepts clients using MAT but prescribed elsewhere

Who the Program Serves

Young adults
Adult women
Pregnant/postpartum women
Adult men
Seniors or older adults
Veterans
Members of military families
Criminal justice (other than DUI/DWI)/Forensic clients
Clients with co-occurring mental and substance use disorders
Clients with co-occurring pain and substance use disorders
Clients with HIV or AIDS
Clients who have experienced sexual abuse
Clients who have experienced intimate partner violence, domestic violence
Clients who have experienced trauma
Ages: Young Adults
Ages: Adults
Ages: Seniors
Accepts: Female
Accepts: Male
Specially designed program for DUI/DWI clients

Language Services

Spanish

Licensing and Accreditation

State substance use treatment agency
SAMHSA certification for opioid treatment program (OTP)

Treatment Approaches

Anger management
Brief intervention
Cognitive behavioral therapy
Contingency management/motivational incentives
Motivational interviewing
Relapse prevention
Substance use disorder counseling
Trauma-related counseling
Telemedicine/telehealth therapy
12-step facilitation

Assessment, Recovery Support and Other Services

Comprehensive mental health assessment
Comprehensive substance use assessment
Interim services for clients
Outreach to persons in the community
Complete medical history/physical exam
Screening for tobacco use
Screening for substance use
Professional interventionist/educational consultant
Aftercare/continuing care
Discharge Planning
Naloxone and overdose education
Outcome follow-up after discharge
Self-help groups
Housing services
Assistance with obtaining social services
Recovery coach
Mentoring/peer support
Employment counseling or training
Case management service
Domestic violence services, including family or partner
Mental health services
Social skills development
Transportation assistance
Integrated primary care services
Suicide prevention services
Drug and alcohol oral fluid testing
Drug or alcohol urine screening
TB screening

Before you commit, confirm openings, costs and the program's state license. How to choose a rehab you can trust lists the questions to ask when you call, and addiction treatment in New York lists the state's treatment agency.