Drug & alcohol rehab centers in New York City, NY

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.

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:

The cost of addiction treatment in New York City reflects state averages, with downstate facilities generally trending toward the higher end of the range due to staffing, real estate and operating costs. New York ranks 22nd nationwide in addiction treatment affordability, with the statewide blended average across all levels of care being approximately $56,653 without insurance. The figures below summarize state-level averages by level of care; however, actual prices in New York City depend on the facility, length of stay and amenities. It is important to note that 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:

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.

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.

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.

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.

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.