Washington · Listings Checked October 2026

Drug and Alcohol Rehab in Washington

Where Can You Get Addiction Treatment in Washington?

SAMHSA's FindTreatment.gov lists 268 substance use treatment facilities in Washington, in 90 cities. Of these, 234 accept Medicaid, 30 offer detox, 44 offer residential treatment, 26 are certified methadone clinics and 109 prescribe buprenorphine. The state agency for substance use treatment is the Division of Behavioral Health and Recovery, Washington State Health Care Authority (HCA). Washington Recovery Help Line answers at 1-866-789-1511 (24/7).

Treatment Facilities by City in Washington

The Washington cities with the most SAMHSA-listed substance use treatment facilities. All 90 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.

All 90 Cities in Washington With Treatment Facilities

State Treatment Agency

Division of Behavioral Health and Recovery, Washington State Health Care Authority (HCA) oversees substance use treatment in Washington.

Washington Treatment Helpline

Washington Recovery Help Line: 1-866-789-1511, 24/7.

Call 1-866-789-1511

Treatment if You Don't Have Insurance

HCA funds substance use treatment for people enrolled in Apple Health (Medicaid); if you are low-income and need help paying for treatment, apply for Apple Health through Washington Healthplanfinder, and the Washington Recovery Help Line gives free referrals.

Medicaid Coverage for Addiction Treatment in Washington

Washington's Medicaid program is Washington Apple Health. Washington has expanded Medicaid, so adults with low incomes can qualify based on income alone. Its Section 1115 waiver (Washington Medicaid Transformation Project 2.0) expands substance use treatment coverage. Covered services listed by the state include: Alcohol use treatment; Opioid use treatment; Medications for opioid use disorder (MOUD); Youth and young adult substance use treatment; Involuntary treatment (Ricky's Law).

Check a Program's License

Before you choose a program, confirm it is licensed using the Washington DOH facility search (behavioral health agencies).

Sober Living Homes in Washington

Washington's recovery residence program: HCA Registry of Recovery Homes (residences verified by WAQRR to NARR standards). The state's NARR affiliate is Washington Alliance For Quality Recovery Residences.

Naloxone (Narcan)

Washington's Statewide Standing Order to Dispense Naloxone works as a prescription for anyone, so you can get naloxone at a pharmacy without seeing a provider, and Apple Health covers it. Naloxone nasal spray is also sold over the counter nationwide.

Good Samaritan Overdose Law

A person who in good faith seeks medical help for someone's drug overdose, and the person who overdosed, can't be charged or prosecuted for drug possession when the evidence came from seeking help. (RCW 69.50.315)

Involuntary Treatment and Protective Custody

Ricky's Law (Involuntary Treatment Act for substance use disorders, RCW 71.05): Adults and teens over 13 who are a likely danger to themselves, others or property, or gravely disabled, because of a substance use disorder can be held in a secure withdrawal management and stabilization facility for an initial 120 hours and up to 14 days of civil commitment.

Guides for Your Next Step

Learn what detox, inpatient rehab and outpatient rehab involve, how medication for opioid use disorder works, and how to find rehab that takes Medicaid or free and low-cost rehab. Before you commit, read how to choose a rehab you can trust.

Frequently Asked Questions

How Many Rehab Centers Are in Washington?

SAMHSA's FindTreatment.gov lists 268 substance use treatment facilities in Washington (checked October 2026), the most in Seattle (27).

How Many Rehabs in Washington Accept Medicaid?

234 of the 268 listed facilities accept Medicaid. Confirm your specific plan when you call.

Where Are Methadone Clinics in Washington?

26 federally certified opioid treatment programs (methadone clinics) are listed in Washington. Use the methadone filter on any city page to find them.

Can You Get Free Rehab in Washington?

HCA funds substance use treatment for people enrolled in Apple Health (Medicaid); if you are low-income and need help paying for treatment, apply for Apple Health through Washington Healthplanfinder, and the Washington Recovery Help Line gives free referrals. 101 listed facilities offer a sliding fee scale, and 2 provide treatment at no charge.

Does Washington Have a Good Samaritan Overdose Law?

A person who in good faith seeks medical help for someone's drug overdose, and the person who overdosed, can't be charged or prosecuted for drug possession when the evidence came from seeking help.

Sources

  1. SAMHSA FindTreatment.gov listing data, checked October 2026
  2. Division of Behavioral Health and Recovery, Washington State Health Care Authority website
  3. Section 1115 waiver details (Medicaid.gov)
  4. Washington Medicaid eligibility
  5. Washington DOH facility search (behavioral health agencies)
  6. Washington recovery residence program
  7. Washington naloxone information
  8. Washington Good Samaritan law
  9. Ricky's Law (Involuntary Treatment Act for substance use disorders, RCW 71.05)

Rehab Help is an independent guide, not a treatment provider. Phone numbers on this site are the facilities' and helplines' own numbers, never tracking lines. If someone is in danger right now, call 911.