Expert Insights
I recently read about a new community outreach program that opened in New York City’s East Harlem area. I assumed this was just your typical harm reduction outreach program…until I got to the part about the free laundromat, free showers, free acupuncture services, and a free massage center. I immediately wondered about the costs of running such a large “free” operation. I tend to remain neutral on efforts such as needle exchange programs and free crack pipe programs, but this particular program had one more (very significant) surprise offering: ambition to become the nation’s first publicly sanctioned supervised consumption room. (That’s a lengthy way of saying it’s a place where people can use drugs like heroin, meth, cocaine, and other substances while being observed by on-site medical staff members.)
If a person in the consumption room overdoses, medical professionals can step in to administer Narcan, reverse the overdose symptoms, and ultimately save a life. But make no mistake, these consumption room operations are illegal in the United States. I’ve seen data from similar operations around the world…and it’s never consistent. While I can get onboard with forms of harm reduction – especially programs making a tangible positive impact – I can’t shake the feeling that these facilities enable and prolong the disease of addiction while ignoring the possibility of achieving recovery as a whole.
How We Rank Listings
Every facility on this page is included because it appears in publicly available state and federal directories of licensed addiction treatment providers in New York City. We do not accept payment for placement, and the order in which facilities appear does not reflect any commercial relationship. Our goal is to give people searching for care a starting point that is broad, current, and grounded in verified data.
Our editorial team reviews each listing using a consistent set of criteria, including:
- Current licensure with the New York State Office of Addiction Services and Supports (OASAS) or equivalent oversight
- Third-party accreditation from organizations such as The Joint Commission, CARF, or NAATP
- Levels of care offered, from medical detox through outpatient and aftercare
- Accepted forms of payment, including Medicaid, Medicare, private insurance, and sliding-scale options
- Specialty programming for groups such as women, men, LGBTQ+ individuals, veterans, and young adults
Listings are informational only. They are not endorsements, and they are not a substitute for a clinical assessment. Anyone considering treatment should verify a program’s current status, services, and insurance acceptance directly with the facility before making a decision.
Rehab in New York City: What to Know
New York City is home to 177 addiction treatment facilities spread across the five boroughs of Manhattan, Brooklyn, Queens, the Bronx, and Staten Island. Together with the rest of the state, these programs are regulated by the New York State Office of Addiction Services and Supports (OASAS), the lead agency for substance use treatment, prevention, and recovery services in New York. A broader picture of the state’s treatment landscape is available through New York’s statewide directory of rehab centers.
The city’s treatment system reflects the size and complexity of its population. People seeking care can choose from a mix of public hospital programs operated by NYC Health + Hospitals, private nonprofit providers such as Samaritan Daytop Village, academic medical center clinics affiliated with Mount Sinai, NewYork-Presbyterian, NYU Langone, and Northwell Health, and federally funded community health centers. The result is a wide range of addiction treatment options, from short-term medical detox to long-term residential and outpatient care.
Opioids continue to drive the local overdose crisis. According to the NYC Department of Health and Mental Hygiene, fentanyl was involved in 73 percent of overdose deaths in 2024, and people seeking help for opioid use disorder represent a large share of admissions to detox and medication-assisted treatment programs in the city. After four consecutive years of increases, overdose deaths in New York City declined by roughly 28 percent in 2024, a shift that public health officials attribute to expanded harm reduction, naloxone distribution, and broader access to buprenorphine and methadone.
Access to care varies by borough. The Bronx continues to record the highest rate of fatal overdose in the city, and harm reduction services, syringe exchange programs, and overdose prevention centers are concentrated in upper Manhattan and the Bronx, where the need is most acute. Treatment availability is broader in Manhattan and Brooklyn than in parts of Queens and Staten Island, where residents may need to travel between neighborhoods to reach detox or inpatient programs.
Key local context to keep in mind when comparing programs:
Cost of Rehab in New York City
The cost of addiction treatment in New York City reflects state averages, with downstate facilities generally trending toward the higher end of the range because of staffing, real estate, and operating costs. New York ranks 22nd nationwide in addiction treatment affordability, and the statewide blended average across all levels of care is approximately $56,653 without insurance. The figures below summarize state-level averages by level of care; actual prices in New York City depend on the facility, length of stay, and amenities, and most people pay far less than the sticker price once insurance, Medicaid, or sliding-scale rates are applied.
These averages cover the full cost of care without insurance and include a mix of program lengths and settings. In practice, day rates for inpatient detox at New York City hospitals tend to run higher than the statewide average, while community-based outpatient programs and OASAS-funded clinics typically cost much less. The following factors most often shape what a person actually pays:
How to Pay for Rehab in New York City
Of the 177 facilities listed in New York City, most accept multiple forms of payment. The grid below summarizes what city-based programs report accepting. Coverage varies by individual program, so anyone using insurance, Medicaid, or Medicare should confirm acceptance and benefits directly with the facility before scheduling care.
The right payment path depends on a person’s insurance status, household income, and the level of care they need. Most New York City residents will combine at least two sources, such as Medicaid and a sliding-scale community clinic, or private insurance and a copay savings plan offered by the facility.
Medicare
Medicare covers a substantial portion of inpatient and outpatient addiction treatment for adults age 65 and older, as well as for some people with disabilities. Part A covers inpatient detox and residential hospital stays; Part B covers outpatient counseling, group therapy, and medication-assisted treatment delivered in clinic settings; and Part D covers approved medications used to treat opioid and alcohol use disorders. Coinsurance, copays, and deductibles still apply, and not every program in the city is enrolled as a Medicare provider. Learn more about verifying your rehab benefits before admission.
Medicaid
New York Medicaid is the largest single payer for addiction treatment in New York City. In addition to fee-for-service coverage, most enrollees receive their behavioral health benefits through Medicaid Managed Care plans such as MetroPlusHealth, Healthfirst, Fidelis Care, EmblemHealth, and Empire BlueCross BlueShield HealthPlus. Covered services include detox, inpatient and residential treatment, outpatient counseling, peer recovery support, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Eligibility is income-based, and the NYC Human Resources Administration (HRA) handles Medicaid enrollment for city residents through HRA Infoline at 311.
Military Benefits
Veterans living in New York City can receive substance use treatment through the VA NY Harbor Healthcare System, which operates campuses in Manhattan, Brooklyn, and Queens, as well as community-based outpatient clinics in Harlem, downtown Brooklyn, and Staten Island. Services include outpatient counseling, residential rehabilitation, opioid treatment with methadone or buprenorphine, and integrated care for co-occurring PTSD, depression, and anxiety. Active-duty service members, retirees, and eligible dependents may also use TRICARE at participating civilian programs. More information is available through our rehab resources for veterans and military.
Insurance and Private Pay
134 New York City facilities accept private health insurance. Major in-network carriers in the New York market include the plans below. Coverage levels, in-network status, and prior authorization rules vary plan by plan; calling the number on the back of an insurance card is the most reliable way to confirm what a specific policy covers.
- Aetna
- Anthem
- Cigna
- EmblemHealth
- Empire BlueCross BlueShield
- Fidelis Care
- Healthfirst
- Humana
- MetroPlusHealth
- Oxford Health Plans
- UnitedHealthcare
Other Low-Cost Options
For people without insurance or with limited household income, 83 New York City programs report offering sliding-scale fees and 76 offer financial assistance. Sliding-scale fees adjust the cost of outpatient counseling and group therapy based on income and household size, and some facilities offer their own internal scholarships or charity care funds. Thirty programs offer financing options that allow patients to pay treatment costs over time, often through a third-party medical lender.
Free Treatment Programs
Three New York City facilities offer fully free treatment, and a much larger group operates on grant or Medicaid funding that covers most or all costs for eligible patients. Programs operated by Samaritan Daytop Village, OASAS Addiction Treatment Centers, and many community-based providers serve uninsured New Yorkers at no out-of-pocket cost. Some nonprofit organizations also offer rehab scholarships that cover part or all of a residential stay.
Levels of Care Available in New York City
New York City offers a full continuum of addiction treatment, anchored by 83 medical detox facilities, 59 inpatient rehab programs, and 147 outpatient clinics. Stepped care is the norm: people typically move from detox into inpatient or residential treatment, then into intensive outpatient or standard outpatient care, with sober living and aftercare extending the recovery timeline beyond the initial program.
Medical detox. The first stage of treatment for many people, medical detox manages withdrawal symptoms under 24-hour clinical supervision. In New York City, detox is offered in hospital units, freestanding crisis centers, and OASAS-licensed residential detox programs. Length of stay ranges from three to seven days for most substances, with longer stays for alcohol and benzodiazepine withdrawal.
Inpatient and residential rehab. After detox, many people transition into inpatient rehab or residential treatment, where they live on-site for 28 to 90 days while receiving daily individual and group counseling, psychiatric care, and recovery planning. New York City’s 59 inpatient programs include hospital-based units, freestanding rehab campuses, and therapeutic communities.
Partial hospitalization. Four New York City programs operate partial hospitalization programs (PHPs), which provide five to seven hours of structured treatment per day, typically five days a week, while clients return home or to sober housing in the evenings. PHPs are a strong fit for people who need a higher level of care than outpatient but no longer need 24-hour supervision.
Outpatient care. Outpatient treatment is by far the most common level of care in New York City, with 147 clinics offering some combination of individual counseling, group therapy, medication management, and case management. Intensive outpatient programs (IOPs) typically meet nine to 15 hours per week, while standard outpatient programs offer one to a few sessions per week.
Dual diagnosis treatment. 143 New York City programs treat substance use disorders alongside co-occurring mental health conditions such as depression, anxiety, PTSD, and bipolar disorder. People living with co-occurring depression or other psychiatric conditions tend to do better when both conditions are treated together rather than sequentially.
Sober living. Seventeen sober living homes in New York City provide structured, substance-free housing for people transitioning out of inpatient care. Residents are usually expected to work, attend recovery meetings, and follow house rules around curfews and drug testing. Sober living is often combined with outpatient treatment and rehab aftercare.
Specialty Programs in New York City
Many New York City facilities offer programming designed for specific populations or substance use patterns. Specialty tracks pair the core elements of addiction treatment with clinical content, group composition, and staff training tailored to the people most likely to benefit. The figures below reflect facilities that report a dedicated specialty program in each category.
People who identify with more than one specialty group, such as LGBTQ+ veterans or older adults with co-occurring mental health conditions, can often find programs that combine relevant tracks. Most facilities welcome a phone call to discuss whether a particular program is a good fit before scheduling an intake assessment.
Free and Low-Cost Rehab Resources in New York City
For New Yorkers without insurance, with limited income, or in immediate crisis, the city operates a dense network of free and low-cost services. The resources below are organized by category and verified against publicly available contact information. If you or someone you know is in immediate danger, call 911. Free, confidential support is also available around the clock through crisis support and suicide prevention resources.
Crisis Lines
- 988 Suicide and Crisis Lifeline. Free, confidential, 24/7 support for mental health and substance use crises. Call or text 988, or chat at 988lifeline.org.
- NYC 988 (formerly NYC Well). New York City’s local crisis line with counselors who speak more than 200 languages. Call 1-888-NYC-WELL (1-888-692-9355), text “WELL” to 65173, or visit nyc988.cityofnewyork.us.
- OASAS HOPEline. New York State’s 24/7 helpline for substance use and problem gambling. Call 1-877-8-HOPENY (1-877-846-7369) or text HOPENY (467369).
- SAMHSA National Helpline. Free, confidential, 24/7 referral service in English and Spanish. Call 1-800-662-HELP (4357).
NYC Department of Health and Mental Hygiene
- Alcohol and Drug Use Services. Citywide directory of treatment, harm reduction, and overdose prevention resources operated by NYC DOHMH. Visit nyc.gov/health or call 311.
- Mental Health for All NYC. A searchable service directory covering substance use, peer support, counseling, and crisis services. Visit mentalhealthforall.nyc.gov.
Community and Nonprofit Providers
- Samaritan Daytop Village. Nonprofit provider of free and low-cost outpatient treatment, residential care, medication-assisted treatment, and supportive housing at more than 60 sites across New York City. Central Admissions: 1-855-322-4357 (HELP). Visit samaritanvillage.org.
- Outreach New York. Residential and outpatient treatment for adolescents and adults in Queens, Brooklyn, and Long Island. Call 1-833-674-6967 or visit opiny.org.
- NYC Health + Hospitals. The city’s public hospital system operates inpatient detox units, outpatient clinics, and methadone programs at facilities in every borough. Visit nychealthandhospitals.org.
Harm Reduction
- OnPoint NYC. Operates the country’s first publicly recognized overdose prevention centers, plus syringe services, naloxone training, and connections to medical care. East Harlem: 104-106 East 126th Street; Washington Heights: 500 West 180th Street. Call (212) 828-8464 or visit onpointnyc.org.
- NYC Syringe Service Programs. 15 DOHMH-funded syringe service programs operate citywide, providing safer-use supplies, naloxone, HIV and hepatitis C testing, and referrals to treatment. Locate a site at mentalhealthforall.nyc.gov.
- Free Naloxone. NYC DOHMH distributes free naloxone (Narcan) kits through more than 300 Opioid Overdose Prevention Programs and a mail-based program. Order at nyc.gov/naloxone.
Veterans and Military
- VA NY Harbor Healthcare System. Substance use treatment, residential rehabilitation, and dual diagnosis care for veterans at the Manhattan Campus (423 East 23rd Street), Brooklyn Campus (800 Poly Place), and St. Albans Community Living Center in Queens. Main line: (212) 686-7500. Visit va.gov/new-york-harbor-health-care.
- Veterans Crisis Line. 24/7 confidential support for veterans, service members, and their families. Call 988 then press 1, or text 838255.
Government and Medicaid
- NYC HRA Medicaid Enrollment. The Human Resources Administration helps city residents apply for Medicaid coverage, including behavioral health benefits. Call 311 or visit nyc.gov/hra.
- OASAS Treatment Availability Dashboard. Search every OASAS-certified treatment program in New York State by location, level of care, and accepted insurance. Visit findaddictiontreatment.ny.gov.
- New York City Drug Treatment Courts. Voluntary alternative-to-incarceration programs operate in all five boroughs, including the Manhattan Treatment Court, Brooklyn Screening and Treatment Enhancement Part (STEP), Bronx Treatment Court, Queens Treatment Court, and Staten Island Treatment Court. Information is available at nycourts.gov.
Drug and Alcohol Use Statistics in New York City
The data below comes from the NYC Department of Health and Mental Hygiene, the Office of the Special Narcotics Prosecutor, and provisional CDC data shared by the state. After four consecutive years of increases, New York City recorded a 28 percent drop in fatal overdoses in 2024, the first significant decline in years. Public health officials credit the decrease to wider naloxone distribution, expanded buprenorphine access at syringe service programs, and the introduction of overdose prevention centers, but the city’s overdose rate still ranks among the highest in the country, and disparities by neighborhood and race remain stark.
Fentanyl continues to dominate the unregulated drug supply, but its share of overdose deaths declined in 2024 for the first time since the synthetic opioid emerged in the city. Xylazine, a non-opioid veterinary sedative that does not respond to naloxone, was present in roughly one in five overdose deaths in 2024, signaling a new challenge for first responders and treatment programs.
The Bronx continues to record the highest overdose death rate of any borough, followed by Staten Island, Manhattan, Brooklyn, and Queens. Neighborhoods in the South Bronx and East Harlem have experienced the highest rates of fatal overdose for several years running, which is why the city’s harm reduction infrastructure, including both overdose prevention centers operated by OnPoint NYC, is concentrated in those communities. National context and longer-term trends are available through our national substance use statistics resource.
Resources
- New York State Office of Addiction Services and Supports. (2026). OASAS treatment availability dashboard. https://findaddictiontreatment.ny.gov/
- Addictions.com. (2025). Alcohol and drug rehabs in New York. https://www.addictions.com/rehabs/new-york/
- New York City Department of Health and Mental Hygiene. (2024). Unintentional drug poisoning (overdose) deaths in New York City in 2023, Epi Data Brief No. 142. https://www.nyc.gov/assets/doh/downloads/pdf/epi/databrief142.pdf
- Office of the Special Narcotics Prosecutor for the City of New York. (2025). Opioid crisis. https://www.snpnyc.org/opioid-crisis/
- Office of Governor Kathy Hochul. (2025). Governor Hochul announces dramatic decline in overdose deaths in New York State. https://www.governor.ny.gov/news/governor-hochul-announces-dramatic-decline-overdose-deaths-new-york-state
- New York City Department of Health and Mental Hygiene. (2025). Alcohol and drug use services. https://www.nyc.gov/site/doh/health/health-topics/alcohol-and-drug-use-services.page
- NYC 988 / Mayor’s Office of Community Mental Health. (2025). NYC 988 crisis services. https://nyc988.cityofnewyork.us/
- OnPoint NYC. (2025). Overdose prevention centers. https://onpointnyc.org/overdose-prevention-centers/
- VA New York Harbor Healthcare System. (2025). VA NY Harbor health care. https://www.va.gov/new-york-harbor-health-care/
- Samaritan Daytop Village. (2025). Addictions and mental health treatment programs. https://www.samaritanvillage.org/
- New York State Unified Court System. (2024). NYC drug treatment courts. https://www.nycourts.gov/courts/nyc/drug_treatment/
