Expert Insights
The U.S. Food and Drug Administration recently approved the sale of Narcan without a prescription. Known as the overdose-reversing drug, Narcan is the first opioid treatment to be sold over the counter. And this will have what many experts hope will have a positive impact on Las Vegas. According to the Nevada Health Department, there were 1,412 opioid-related deaths in Clark County from 2018 to 2022. This is a huge spike in overdose deaths, meaning the easy access to Narcan could have potentially saved all or a large portion of those lives.
How We Rank Listings
Our directory brings together drug and alcohol rehab centers across Las Vegas so you can compare them in one place. Listings are organized to help you find care that fits your situation, whether you are looking for medical detox, residential treatment, or an outpatient program close to home. We prioritize facilities that hold recognized accreditation and current state licensing, and we surface details that matter when you are choosing where to get help.
- Accreditation from bodies such as the Joint Commission and CARF
- Current Nevada state licensing and LegitScript certification
- Levels of care offered, from detox through aftercare
- Insurance and payment options accepted, including Medicaid and self-pay
- Specialty programs for specific populations and substances
Every family comes to this decision differently, so the listings are built to be compared on the factors that shape a real treatment choice rather than ranked by a single score.
Rehab in Las Vegas: What to Know
Las Vegas is the county seat of Clark County, the most populous county in Nevada, and anchors the Las Vegas-Henderson-Paradise metro area. The city is home to roughly 678,900 residents, while Clark County as a whole passed 2.42 million people in 2024 and accounts for about 73% of the state’s population (USAFacts, 2024; UNLV Center for Business and Economic Research, 2025). Our directory lists 63 rehab facilities in the Las Vegas area, spanning the full range of addiction treatment options from supervised detox to long-term outpatient care.
Public and behavioral health in the area is coordinated largely through the Southern Nevada Health District, which serves Las Vegas along with Henderson, North Las Vegas, Boulder City, and Mesquite.
Care is delivered across a mix of public and private systems, including University Medical Center, the region’s public safety-net hospital, the Valley Health System, and the faith-based Dignity Health-St. Rose Dominican network. Community providers such as WestCare Nevada round out the landscape with detox, medication-assisted treatment, and residential services for people who are uninsured or on Medicaid.
Overdose has hit Clark County hard in recent years. The Southern Nevada Health District recorded 692 drug overdose deaths among county residents in 2023, with opioids involved in about 68% of them, and reported that overdose fatalities climbed 112% between 2018 and 2024 (Southern Nevada Health District, 2024; Las Vegas Sun, 2025). Fentanyl and methamphetamine are the two substances driving those numbers, and polysubstance use involving both has grown quickly. If opioids are part of your family’s situation, our guide to opioid use disorder explains what treatment involves.
There is money behind the response. Nevada is receiving roughly $1.2 billion in national opioid settlement funds, and Clark County is set to receive the largest county share in the state to expand treatment, prevention, and recovery services (Las Vegas Review-Journal, 2025). For families weighing options beyond the immediate metro, the full Nevada rehab directory lists facilities statewide.
Cost of Rehab in Las Vegas
Cost is one of the first questions most people ask, and the honest answer is that it varies widely depending on the level of care, the program length, and the amenities involved. Published cost data specific to Las Vegas is limited, so the figures below reflect broader Nevada and regional averages compiled from national treatment-cost research. Treat them as general ranges rather than quotes for any single facility.
Because Las Vegas has a higher cost of living than much of Nevada, local prices tend to sit at or above these state averages, particularly for residential care with private rooms or added amenities. The good news is that very few people pay the full sticker price out of pocket. Insurance, Medicaid, sliding-scale fees, and settlement-funded programs all bring the real cost down, and verifying your rehab benefits before admission is the single best way to know what you will actually owe.
How to Pay for Rehab in Las Vegas
Across the 63 rehab facilities listed in Las Vegas, most accept more than one form of payment, which gives families room to piece together coverage that works. Self-pay is the most widely accepted option, but a strong majority of centers also take private insurance and Nevada Medicaid, and many offer sliding-scale fees or financial assistance for people who need it.
Which path makes sense depends on your coverage and your circumstances. Here is how the main options work in Las Vegas.
Medicare
Thirteen Las Vegas facilities accept Medicare, which covers addiction treatment for adults 65 and older and for some younger people with qualifying disabilities. Coverage generally includes inpatient care, outpatient services, and medically necessary detox, though specific benefits and copays depend on your plan. Reviewing your drug addiction treatment options ahead of time helps you match a program to what your plan will cover.
Medicaid
Twenty-six Las Vegas facilities accept Nevada Medicaid, which covers substance use disorder treatment for eligible low-income residents. Nevada Medicaid delivers behavioral health benefits through managed care organizations, including Anthem, Health Plan of Nevada, Molina Healthcare, SilverSummit HealthPlan, and CareSource, and its coverage includes medication-assisted treatment such as methadone and buprenorphine. You can apply through the Nevada Health Authority, and community providers like WestCare have on-site enrollment help for people who are not yet covered.
Military Benefits
Ten facilities in the area accept TRICARE, the health program for active-duty service members, veterans, and their families. Veterans can also receive substance use treatment directly through the VA Southern Nevada Healthcare System, and additional support is available through veterans and military resources on our site.
Insurance and Private Pay
Forty-two Las Vegas centers accept private health insurance from major carriers operating in Nevada, including UnitedHealthcare, Health Plan of Nevada, Anthem Blue Cross Blue Shield, Hometown Health, and Sierra Health and Life. Under federal parity law, most plans must cover addiction treatment on terms comparable to other medical care. Fifty-five facilities also accept self-payment, which can sometimes secure a discount when paid in full.
- Anthem Blue Cross Blue Shield
- Health Plan of Nevada
- Hometown Health
- Sierra Health and Life
- UnitedHealthcare
Other Low-Cost Options
For families without robust coverage, 15 facilities offer sliding-scale fees that adjust to income and 18 offer some form of financial assistance. Nevada’s opioid settlement funds are also expanding access to subsidized care across Clark County. If cost is the main barrier, it is worth asking each center directly what assistance they can extend.
Free Treatment Programs
Six Las Vegas facilities offer free treatment, and additional no-cost recovery options exist through nonprofit and faith-based providers. People who cannot afford care may also qualify for help through rehab scholarships or state-funded programs. Free options often have waitlists, so it helps to apply to more than one.
Levels of Care Available in Las Vegas
Las Vegas offers the full continuum of addiction care, with 35 facilities providing medical detox, 42 offering inpatient rehab, and 45 running outpatient programs. That range means most people can find the intensity of support that matches where they are in recovery.
Medical detox is where many people begin, safely managing withdrawal under clinical supervision before further treatment. Because fentanyl and methamphetamine drive so much of the local overdose burden, supervised withdrawal matters here. Learn what to expect from supervised detox.
Inpatient rehab provides 24-hour residential care, typically for 30 to 90 days, and suits people who need to step away from their environment to focus fully on recovery. Our guide to residential treatment covers how these programs are structured.
Partial hospitalization programs offer intensive daytime treatment while allowing people to return home at night, bridging the gap between residential and outpatient care. See how PHP treatment works.
Outpatient and intensive outpatient programs allow people to keep working or caring for family while receiving structured treatment on a set schedule. This is the most widely available level of care in Las Vegas. Read more about intensive outpatient programs.
Dual diagnosis care treats addiction alongside a co-occurring mental health condition such as depression or anxiety, which is common and best addressed together. Our resource on co-occurring depression explains the integrated approach.
Sober living homes and continuing care support the transition back to daily life after a program ends, offering structure and peer accountability during early recovery.
Specialty Programs in Las Vegas
Beyond general treatment, many Las Vegas facilities tailor care to specific populations and substances. These programs recognize that recovery looks different depending on who you are and what you are facing, and matching a program to your needs can make treatment more effective.
Alcohol remains the most common focus of care in Las Vegas, with 50 facilities offering programs for alcohol use disorder. Opioid-specific treatment is widely available too, given the local fentanyl crisis. For veterans, eight programs provide care attuned to service-related trauma.
Six facilities offer LGBTQ+ friendly programs that provide LGBTQ+ affirming addiction care in a welcoming environment. Young adult programs, available at 32 facilities, address the distinct pressures facing people navigating early adulthood and young adult and college student substance use.
Free and Low-Cost Rehab Resources in Las Vegas
Cost should never be the reason someone goes without help. Las Vegas and Clark County have a network of crisis lines, harm reduction services, and low-cost or free providers for people who are uninsured, underinsured, or in immediate danger. The resources below are verified and current.
Crisis Lines
- 988 Suicide and Crisis Lifeline – Call or text 988, available 24/7. Veterans press 1. See our crisis support resources for more.
- SAMHSA National Helpline – 1-800-662-HELP (4357), a free and confidential 24/7 treatment referral line. https://www.samhsa.gov/find-help/helplines/national-helpline
- Nevada State Crisis Line (Southern Nevada) – 702-486-7865, available 24/7, or the statewide line at 1-888-628-9454. https://cssnv.org/
County Health Department
- Southern Nevada Health District – Operates overdose response and prevention programs and distributes free naloxone at its pharmacy, 280 S. Decatur Blvd, Las Vegas, NV 89107. A statewide naloxone locator is available at nvopioidresponse.org.
Community and Nonprofit Providers
- WestCare Nevada – Intake at 702-385-3330. Provides detox, medication-assisted treatment, and residential and outpatient care; accepts Medicaid and helps uninsured clients enroll. https://westcarenevada.com/
- The Salvation Army Adult Rehabilitation Center – 702-399-2769. A free residential work-therapy recovery program with housing and meals included. https://gethelp.salvationarmyusa.org/
- Catholic Charities of Southern Nevada – 702-387-2291. Offers social services and addiction-related support and referrals. https://www.catholiccharities.com/
Harm Reduction
- Trac-B Exchange – 6114 W Charleston Blvd, Las Vegas, NV 89146; 702-840-6693. Free syringe services, naloxone, and fentanyl test strips with no ID required, plus harm-reduction vending machines across Clark County. https://www.harmreductioncenterlv.com/
Veterans and Military
- VA Southern Nevada Healthcare System – North Las Vegas VA Medical Center, 6900 N. Pecos Road, North Las Vegas, NV 89086; 702-791-9000. Provides substance use treatment including medication-assisted treatment. Additional resources for veterans are available on our site.
Government and Medicaid
- Nevada 211 – Dial 211 or text 898-211 to connect with local treatment, housing, and financial assistance resources. https://www.nevada211.org/
- Nevada Medicaid – Apply through the Nevada Health Authority for coverage that includes substance use disorder treatment. https://www.medicaid.nv.gov/
Drug and Alcohol Use Statistics in Las Vegas
The scale of the overdose crisis in Clark County shapes the urgency behind local treatment efforts. In 2023, the Southern Nevada Health District recorded 692 drug overdose deaths among county residents, and fentanyl-involved and methamphetamine-related deaths each climbed to 448 in 2024 (Southern Nevada Health District, 2024; Las Vegas Sun, 2025). Understanding fentanyl overdose risk is central to prevention here.
The share of residents who need treatment but do not receive it remains stubbornly high, mirroring a national gap in access to care.
There are early signs of relief. The Clark County Coroner reported that drug fatalities fell to 1,228 in 2025 from 1,389 in 2024, a decline attributed to a tapering of the fentanyl epidemic, though the coroner’s all-cause toxicity counts are measured differently from the health district’s figures (Las Vegas Review-Journal, 2026). For national context on how Nevada compares, see our national substance use statistics.
Resources
- USAFacts. (2024). Clark County, Nevada population and demographics. https://usafacts.org/data/topics/people-society/population-and-demographics/our-changing-population/state/nevada/county/clark-county/
- University of Nevada, Las Vegas Center for Business and Economic Research. (2025). Southern Nevada population estimates. https://cber.unlv.edu/
- Southern Nevada Health District. (2024). Southern Nevada Health District launches Substance Use Dashboard. https://www.southernnevadahealthdistrict.org/news-release/southern-nevada-health-district-launches-substance-use-dashboard/
- Las Vegas Sun. (2025). Nevada among few states seeing rise in overdose deaths. https://lasvegassun.com/news/2025/may/14/nevada-among-few-states-seeing-rise-in-overdose-de/
- Las Vegas Review-Journal. (2025). Nevada received $1.2 billion in opioid settlements. Where has it gone? https://www.reviewjournal.com/news/politics-and-government/nevada/nevada-received-1-2-billion-in-opioid-settlements-where-has-it-gone-3389039/
- Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). 2022-2023 National Survey on Drug Use and Health State Estimates, Nevada. https://www.samhsa.gov/data/
- National Center for Drug Abuse Statistics, via addicted.org. (2025). Cost of drug and alcohol rehab in Nevada. https://drugabusestatistics.org/
- Nevada Division of Public and Behavioral Health. (2024). Overdose and substance use update. https://www.dpbh.nv.gov/siteassets/boards/boh/meetings/20242/SNHD.pdf
