Compare 131 drug and alcohol rehab centers across Montana, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down treatment options for yourself or someone you love.
1111 Coburn Road · Billings, MT 59101Billings, MT 59101
Billings · Inpatient, Outpatient
New Day Ranch is an addiction treatment center in Billings, Montana. It runs therapeutic group homes on a ranch campus in the city for young people who are 10 to 17 with challenges in emotions and behavior. Care there also…
3815 South 7th Street West · Missoula, MT 59804Missoula, MT 59804
Missoula · Inpatient, Women
The Missoula Women’s Campus offers women struggling with drug and alcohol addictions a residential treatment and discipleship program. Located in western Missoula, Montana, near the Clark Fork River, this residential facility has space for up to 20 residents at a…
31733 South Fork Road · Troy, MT 59935Troy, MT 59935
Troy · Inpatient
Turning Winds is a hybrid residential treatment center and therapeutic boarding school for adolescents ages 13 through 18 who are facing issues with mental health, behavioral health, or substance abuse. They are located in the scenic mountains of Troy, Montana…
1112 Leslie Avenue · Helena, MT 59601Helena, MT 59601
Helena · Detox, Inpatient, Outpatient
Instar Community Services is located in a suburban corner of Helena, Montana. They offer outpatient care for individuals with substance misuse disorders. I was impressed with their variety that ranges from relapse prevention education to court-ordered treatment. Starting Recovery We'll…
2415 South Catlin Street Suite 4 · Missoula, MT 59801Missoula, MT 59801
Missoula · Detox, Outpatient
Located in Missoula, Montana, is the Community Medical Services Missoula clinic. They are a provider of opioid abuse treatment, helping men and women receive access to medication assisted treatment, counseling and support services they need to work through opioid use…
1231 North 29th Street · Billings, MT 59101Billings, MT 59101
Billings · Detox, Inpatient, Outpatient
Rimrock Foundation offers a full spectrum of addiction care in Billings, Montana. They have medical detox services, inpatient care, a short term and long term residential program, and various outpatient services. They have a medication assisted treatment (MAT) program available…
1523 Wyoming Avenue · Billings, MT 59102Billings, MT 59102
Billings · Outpatient
Ideal Option in Billings, Montana, provides substance use treatment without any overnight stays required. Guests have a judgment-free zone to focus on recovery with a unique care plan that works for them. Treatment Convenience Ideal Option provides flexible outpatient care…
3000 Palmer Street · Suite B, Missoula, MT 59808Missoula, MT 59808
Missoula · Outpatient
Winds of Change is a part time substance use and mental health disorder treatment facility in the vibrant town of Missoula, Montana. You’ll find them in a commercial district close to the Clark Fork River. You’ll be cared for by…
833 N Last Chance Gulch · Helena, MT 59601Helena, MT 59601
Helena · Detox, Inpatient, Outpatient
Located in Helena, Montana is the Helena Valley Addiction Services. This is a treatment facility that supports adults and adolescents struggling with drug, alcohol, or opioid use disorders. There are a range of outpatient services and specialized programs available if…
525 East Mercury Street · Butte, MT 59701Butte, MT 59701
Butte · Detox, Inpatient
The Montana Chemical Dependency Center (MCDC) is a state run intensive inpatient program designed to help people safely stop using substances and get sober that’s located in Butte, Montana. The facility serves both men and women and is a part…
2040 Rosebud Drive · Billings, MT 59102Billings, MT 59102
Billings · Detox, Outpatient
Community Medical Services (CMS) is a local clinic that provides treatment solutions for people struggling with opioid use disorder (OUD) in Billings, Montana. It is part of the larger Community Medical Services network which provides care across the country. The…
2620 Connery Way · Missoula, MT 59808Missoula, MT 59808
Missoula · Detox, Inpatient, Outpatient
Cedar Creek Integrated Health (Cedar Creek), situated in the serene backdrop of Missoula, Montana, offers compassionate care to individuals who are seeking a path to greater wellness. We like that they heavily focus on the relationship between mind, body, and…
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Community Medical Services Billings |
2040 Rosebud Drive, Billings, MT 59102 |
Community Medical Services (CMS) is a local clinic that provides treatment solutions for people struggling with opioid use disorder (OUD) in Billings, Montana. It is part of the larger Community Medical Services network which provides care across the country. The priority is focused on opioid addiction, but also includes heroin and fentanyl. MAT Detox Solutions Because CMS is focused on… |
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Ideal Option |
1523 Wyoming Avenue, Billings, MT 59102 |
Ideal Option in Billings, Montana, provides substance use treatment without any overnight stays required. Guests have a judgment-free zone to focus on recovery with a unique care plan that works for them. Treatment Convenience Ideal Option provides flexible outpatient care where guests aren’t required to stay overnight. That allows you to continue with your work or family obligations and get… |
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New Day Ranch Coburn Road |
1111 Coburn Road, Billings, MT 59101 |
New Day Ranch is an addiction treatment center in Billings, Montana. It runs therapeutic group homes on a ranch campus in the city for young people who are 10 to 17 with challenges in emotions and behavior. Care there also covers substance use and dual mental health conditions which are a second condition in addition to the addiction. Group Homes… |
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New Day Inc. |
1724 Lampman Drive, Billings, MT 59102 |
New Day, which is located in Billings, Montana, offers an array of services designed for youth and adults who are in need of substance abuse treatment and dual diagnosis mental health treatment. They offer residential care, day treatment, intensive outpatient treatment and standard outpatient treatment, giving you a wide range of options to meet your specific needs. Youth Recovery Services… |
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Rimrock Foundation |
1231 North 29th Street, Billings, MT 59101 |
Rimrock Foundation offers a full spectrum of addiction care in Billings, Montana. They have medical detox services, inpatient care, a short term and long term residential program, and various outpatient services. They have a medication assisted treatment (MAT) program available to those experiencing addiction to alcohol or opioids like heroin or prescription pain medications. MAT is an option for pregnant… |
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Travis W. Atkins VA Clinic (Bozeman) |
1101 East Main Street, Bozeman, MT 59715 |
Located in Bozeman, Montana, is the Travis W. Atkins Department of Veterans Affairs Clinic. It’s a facility committed to help veterans battle mental health and substance abuse disorders with the same passion as our soldiers. Named after Army Staff Sgt. Travis Atkins who sacrificed his life in 2007 during the Iraq War, this facility brings that same spirit and wants… |
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Montana Chemical Dependency Center |
525 East Mercury Street, Butte, MT 59701 |
The Montana Chemical Dependency Center (MCDC) is a state run intensive inpatient program designed to help people safely stop using substances and get sober that’s located in Butte, Montana. The facility serves both men and women and is a part of the Montana Department of Public Health and Human Services. While this is a short term program, it works with… |
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Rocky Mountain Treatment Center |
920 4th Avenue North, Great Falls, MT 59401 |
Rocky Mountain Treatment Center provides comprehensive substance use care in Great Falls, Montana. Their team knows that addiction can make you feel hopeless, but they have the experience to help you overcome substance use. They have a broad range of services including supervised detox and unique therapies to meet your recovery needs. Medically Monitored Detox They offer medically monitored detox… |
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Pacific Northwest Adult and Teen Challenge Missoula Womens Campus |
3815 South 7th Street West, Missoula, MT 59804 |
The Missoula Women’s Campus offers women struggling with drug and alcohol addictions a residential treatment and discipleship program. Located in western Missoula, Montana, near the Clark Fork River, this residential facility has space for up to 20 residents at a time and forms part of a vast network of similar residential locations operated under the Adult & Teen Challenge banner.… |
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Community Medical Services Missoula |
2415 South Catlin Street Suite 4, Missoula, MT 59801 |
Located in Missoula, Montana, is the Community Medical Services Missoula clinic. They are a provider of opioid abuse treatment, helping men and women receive access to medication assisted treatment, counseling and support services they need to work through opioid use disorder. They specialize in addressing addictions to heroin and fentanyl and even have programs for pregnant women. Services are provided… |
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Winds of Change Addiction & Mental Health Center |
3000 Palmer Street, Suite B, Missoula, MT 59808 |
Winds of Change is a part time substance use and mental health disorder treatment facility in the vibrant town of Missoula, Montana. You’ll find them in a commercial district close to the Clark Fork River. You’ll be cared for by a team that supports you in every way as you take your life back. Tailor Your Addiction Treatment to Your… |
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Turning Winds |
31733 South Fork Road, Troy, MT 59935 |
Turning Winds is a hybrid residential treatment center and therapeutic boarding school for adolescents ages 13 through 18 who are facing issues with mental health, behavioral health, or substance abuse. They are located in the scenic mountains of Troy, Montana which gives you the ideal environment for focus and recovery. Holistic and Traditional Therapy for Substance Use Here, they offer… |
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Cedar Creek Integrated Health |
2620 Connery Way, Missoula, MT 59808 |
Cedar Creek Integrated Health (Cedar Creek), situated in the serene backdrop of Missoula, Montana, offers compassionate care to individuals who are seeking a path to greater wellness. We like that they heavily focus on the relationship between mind, body, and spirit as a means to foster insight. Because they value collaboration and communication, they'll see you as a partner and… |
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Helena Valley Addiction Services |
833 N Last Chance Gulch, Helena, MT 59601 |
Located in Helena, Montana is the Helena Valley Addiction Services. This is a treatment facility that supports adults and adolescents struggling with drug, alcohol, or opioid use disorders. There are a range of outpatient services and specialized programs available if you have a chemical dependency or a co occurring mental health disorder. They accept most major insurance policies, including Medicaid.… |
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Recovery Centers of Montana |
390 Hodgson Rd, Columbia Falls, MT 59912 |
Recovery Centers of Montana, located in Columbia Falls, Montana, is home to the men’s residential treatment facility known as The Ranch. This center supports men who struggle with drug or alcohol addiction and are ready to start on a path to healing. The programs here are guided by evidence based therapies and highly personalized treatment plans. They accept policies from… |
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Instar Community Services |
1112 Leslie Avenue, Helena, MT 59601 |
Instar Community Services is located in a suburban corner of Helena, Montana. They offer outpatient care for individuals with substance misuse disorders. I was impressed with their variety that ranges from relapse prevention education to court-ordered treatment. Starting Recovery We'll start with the basics, such as the fact that they offer individual counseling, group counseling, and family counseling, covering all… |
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Crystal Creek Lodge Treatment Center |
807 North Piegan Street, Browning, MT 59417 |
Located in Browning, Montana, is the Crystal Creek Lodge Treatment Center. This is an addiction treatment organization that specializes in providing culturally competent care to members of Native American tribes. Clients struggling with a substance use disorder will find supportive, compassionate care here. Blending clinical approaches and holistic therapies, you'll be immersed in a community that will help you build… |
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Apsaalooke Healing |
43 Heritage Lane, Crow Agency, MT 59022 |
Apsaalooke Healing, located in cultural Crow Agency, Montana is an accredited facility since 2003 to provide intensive outpatient services and inpatient referrals.Their mission is to bring hope to those seeking recovery. Their healing program was created by and for the Crow people to support recovery from addiction. We admire all the efforts made by Apsaalooke Healing to help Crow Tribe… |
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Recovery Center Missoula |
1321 Wyoming St, Missoula, MT 59801 |
Western Montana Mental Health Center, located in picturesque Missoula, Montana, knows you have dreams and they’re here to help make those dreams a reality. Asking for help can be scary but they will meet you where you are and they won’t turn you away in your quest for support with substance use dependency. We really like the efforts they make… |
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Crosswinds Recovery |
2001 S Russell St, Missoula, MT 59801 |
Crosswinds Recovery offers substance abuse treatment for adults. If you're out in Montana, feel free to drop by and see 'em in Missoula. Their staff understands that recovery is an ongoing journey, and they want to provide the support to help you overcome addiction. Structured Recovery This location is the setting for their recovery housing program. Guests have a secure,… |
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Ideal Option Missoula |
2685 Palmer St #D, Missoula, MT 59808 |
In Missoula, Montana, you’ll find Ideal Option. It's where folks go if they're dealing with tough challenges like mental health disorders or substance abuse. Ideal’s main service is medication assisted treatment (MAT). This addresses withdrawal symptoms and cravings with FDA-approved medications, which can help you achieve long-term recovery as you stop using substances. Specialized Treatment Ideal Option can help people… |
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Blacktail Health Butte Clinic |
445 Centennial Avenue, Butte, MT 59701 |
Butte Clinic is operated by Blacktail Health which was formerly known as Southwest Montana Community Health Center and is an outpatient addiction treatment center and Federally Qualified Health Center in Montana. The clinic offers medication assisted treatment. This is provided using Suboxone and naltrexone Vivitrol which is integrated with case management and peer support in an integrated primary care setting.… |
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Bullhook Community Health Center Behavioral Health |
521 4th Street, Havre, MT 59501 |
Bullhook Community Health Center Behavioral Health, located in Havre, Montrana, provides outpatient mental health and addiction recovery services for youth and adults, including dedicated programming for young adults, justice-involved persons, and LGBtQ+ persons. They offer medically supervised ambulatory detox, dual diagnosis care, medication-assisted treatment (MAT), crisis intervention, assertive community treatment (ACT), outpatient trauma-informed counseling and recovery education, and aftercare planning… |
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Community Medical Services Kalispell |
795 Sunset Boulevard Suite F, Kalispell, MT 59901 |
The Kalispell, Montana, clinic of Community Medical Services specializes in treating those with opioid use disorder with medication assisted treatment. Prescription medications help clients manage cravings and evidence-based counseling teaches healthy coping strategies for maintaining sobriety long-term. Peer support services from those with lived experiences and pregnancy support services are also available. |
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All Nations Health Center |
830 West Central Avenue, Missoula, MT 59801 |
All Nations Health Center in Missoula, Montana offers outpatient mental health and addiction recovery services for Native American adults, including specialized services for young adults and persons with co-occurring addiction and mental illness. Their culturally-responsive programming includes trauma-informed individual, group, and family counseling, recovery-focused life-skills training, and holistic therapies based on Native American culture and traditions. They offer community outreach… |
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Montana is among the most expensive states in the country for drug rehab (47th). The average here is $62,530, the full cost of care before insurance. If you have a Marketplace health plan through HealthCare.gov, the 2026 out-of-pocket maximum is $10,600 for an individual and $21,200 for a family. That is the most you would pay in a plan year for covered, in-network services. You can ask a program and your plan what you would pay.
The cost picture for rehab in Montana
Cost factors: affordability places Montana 47th of 50, on full costs · state-paid programs cover people who cannot get Medicaid · 69% of listed programs accept Medicaid at intake · nearly half of listed programs offer sliding-scale fees · overall living costs sit about 5% under the national average
Montana has 100+ treatment programs, and most of them give you more than one way to pay. Whether you have insurance, Medicaid, Medicare, military coverage, or none at all, there is a route worth asking about. Here is how the main options work in Montana, and what you can ask a program about your own situation.
Nearly all treatment programs in Montana accept private pay, and most work with private insurance. If you have a plan, ask a program whether it is in your network and what you would pay for care, from counseling to medication-assisted treatment. How rehab works with insurance depends on the plan, so ask the program and your insurer what applies to you.
Most treatment programs in Montana accept Medicaid. Montana expanded Medicaid in 2015 to cover adults with incomes up to 138% of the federal poverty level, so you may qualify even if you were turned down before. If you have Medicaid, ask whether a program takes your coverage before you enroll.
Many treatment programs in Montana accept Medicare. Ask the program whether it takes your Medicare coverage and what your share of the cost would be.
Montana is served by the TRICARE West Region, and TriWest Healthcare Alliance is the region's contractor. If this is your coverage, check that a program accepts your plan before you start. Veterans can also get care through the Fort Harrison VA Medical Center. There are also addiction and mental health resources for service members and veterans beyond the VA.
Montana is home to seven reservations and eight federally recognized tribal governments representing twelve tribes. They are the Blackfeet Nation, Chippewa Cree Tribe, Crow Nation, and Confederated Salish & Kootenai Tribes. The others are the Fort Belknap Assiniboine & Gros Ventre Tribes, Fort Peck Assiniboine & Sioux Tribes, Little Shell Chippewa Tribe, and Northern Cheyenne Tribe. The Billings Area Indian Health Service office serves Montana and Wyoming through IHS-operated service units, tribally operated health departments, and urban Indian health programs. Ask your tribal health program what treatment it offers.
Many programs in Montana offer sliding scale fees or financial assistance, and some offer free care. Some also offer financing, so you can pay over time. When you call a program, ask what low-cost options it has and what you would need to qualify.
Expert insight
“Montana is beautiful, but the rural nature of the state creates extraneous barriers to mental health care.”
Montana is known as “Big Sky” country because of its vast landscape with wide open spaces. That is why providing mental health care is difficult.
Working in rural emergency rooms demonstrates the lack of availability of services, which I’ve seen in rural areas myself. People in mental health crises often end up waiting for hours and then are released with no plan for follow up. Because there are no 72 hour hold laws in Montana, people in crisis rarely get the care they need to stabilize.
Recent research from the US Census Bureau and the CDC indicates Montana’s mental health and suicide rates are higher than average for the country, especially among teenagers.
Frequently asked questions
Montana has 100+ addiction treatment programs, and where you start depends on the kind of care you need. The Montana Chemical Dependency Center is the state’s only inpatient addiction facility. You get in through a referral from a licensed addiction counselor, who fills out the center’s application with a full review of your needs. If you cannot get Medicaid but your income meets program standards, you may qualify for state-paid treatment.
The Montana Angel Initiative is a voluntary program with a helpline, run by the Montana Department of Public Health and Human Services. It connects you with treatment professionals, support services, and recovery resources. The department also runs a statewide provider locator that lists Certified Community Behavioral Health Clinic sites, so you can find mental health or substance use care near you.
The department’s Behavioral Health and Developmental Disabilities Division runs substance use and adult mental health services. Its Licensure Bureau licenses the state’s substance use disorder facilities. Any program you consider should hold a Montana license, and you can ask a program about it. By rule, your record at a licensed facility starts with a full review of six areas of your health and life, plus a diagnosis that shows why you are admitted.
A statewide task force plan for 2024 through 2028 lays out how Montana’s partners take on substance use as a public health issue. Montana’s Medicaid expansion also goes by the name Montana Health and Economic Livelihood Partnership (HELP) Program.
Free and low-cost help is easy to reach across Montana. You can call or text crisis lines, or visit support groups and community programs near you. Montana law lets the state medical officer make naloxone available statewide by standing order. The state’s substance use plan also backs mail order access to naloxone, fentanyl test strips, and safe syringe supplies. If you are worried about suicide prevention for yourself or someone close, you can reach out any time.
Substance use touches a lot of lives in Montana. Most Montanans aged twelve or older who were classified as needing substance use treatment did not get it in the past year. Montana has 100+ treatment programs, and starting points like the Montana Angel Initiative helpline and the Montana Chemical Dependency Center can help you find care.
Drug overdose deaths per 100,000 people in Montana, 2024
Montanans 12+ needing substance use treatment who did not get it, 2024
Montanans 12+ with a substance use disorder in the past year, 2023-2024
Montana adults who binge drank in the past month, 2025
The drug and alcohol use statistics tell a mixed story for Montana. Binge drinking among adults runs above the national median here, higher than in Idaho or South Dakota, and only North Dakota runs higher. Overdose deaths run the other way: Montana’s rate of drug overdose deaths sits below the national rate and below Idaho’s, though it stays above North Dakota’s and South Dakota’s.
Medical reviewer
Sendra Yang, PharmD, MBA
Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…
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Author
Peg O'Connor, PhD, Social Philosophy
Peg O’Connor, PhD, is a professor of philosophy who regularly teaches courses in moral and social philosophy and on the subjects of addiction, trauma, and oppression. Peg is also a recovering alcoholic of 35 years who believes philosophy helped her…
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