Expert Insights
You might not think about the addiction treatment industry when talking about inflation, but there is no escape for any citizen or any business. And when you start putting the pieces of the puzzle together, it becomes crystal clear how inflation could potentially cause millions of Americans to pass up a chance to go to rehab or embrace an opportunity for recovery. Drug rehabs in Texas are facing funding issues, thanks to rising costs of operation, lackluster funding from the state, and an opioid crisis with no end in sight. So in order to receive additional funding needed for the rest of the year, over the next few weeks, you’ll see a wealth of representatives from Texas rehabs testifying before the finance committee for the Texas Health and Human Services Commission. Treatment centers from every corner of the state must lobby for vital funds that will allow them to keep their doors open, continue treating as many clients as possible, and operating robust recovery and aftercare programs.
How We Rank Listings
Our Dallas listings are built from publicly verifiable sources, including the SAMHSA treatment locator (findtreatment.gov), state licensure records from the Texas Health and Human Services Commission, and accreditation rosters maintained by The Joint Commission, CARF, and the National Association of Addiction Treatment Providers (NAATP). We do not accept payment in exchange for placement, ranking, or favorable treatment of any facility.
Every facility on this page has been screened against the criteria below before being included:
- Active state licensure with the Texas Health and Human Services Commission
- At least one independent accreditation (Joint Commission, CARF, or NAATP membership) where reported
- Verified levels of care, payment options, and specialty programs disclosed in public regulatory data
- No active enforcement actions or license suspensions disclosed in public regulatory data at the time of publication
Listings are refreshed against public records on a recurring cycle. If you spot information that looks out of date, contact us so we can verify and correct it.
Rehab in Dallas: What to Know
Dallas is the county seat of Dallas County and the anchor of the Dallas-Fort Worth metroplex, a region that crossed 8.3 million residents in 2024 and remains one of the fastest-growing metro areas in the country. The city itself sits at the center of a treatment network covering Dallas, Collin, Denton, and Tarrant counties, and is home to 70 addiction treatment facilities across detox, inpatient, outpatient, and sober-living levels of care. Our full directory is part of the broader Texas rehab centers network.
Behavioral health care in Dallas County is coordinated by the North Texas Behavioral Health Authority (NTBHA), the Local Behavioral Health Authority contracted by Texas HHSC to manage mental health and substance use services for Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties. NTBHA operates an Outreach, Screening, Assessment and Referral (OSAR) team that connects uninsured and underinsured residents to publicly funded treatment slots, and routes crisis calls through a 24/7 hotline. The largest direct provider in the network is Metrocare Services, a nonprofit operating multiple clinics across the city offering outpatient counseling, medication management, and substance use programming on a sliding scale.
The opioid crisis hit Dallas County hard between 2019 and 2023, with overdose death rates climbing 61% over that period, significantly outpacing both the state and national increases. Fentanyl drove most of the rise, contributing to roughly 80% of opioid overdose deaths in Dallas County by 2023. Preliminary 2024 data shows a meaningful decline, with overdose deaths falling from 628 in 2023 to 558 in 2024, a shift public health officials attribute to expanded naloxone distribution, opioid response teams, and overdose-mapping technology now being used in the field.
Local infrastructure beyond the treatment system also shapes how people enter care in Dallas. The Dallas Initiative for Diversion and Expedited Rehabilitation and Treatment (DIVERT Court), established in 1998, diverts non-violent felony drug cases into supervised addiction treatment programs as an alternative to incarceration. Dallas County Health and Human Services also runs a free naloxone distribution program for businesses, libraries, shelters, and community organizations, supported by a $2.2 million CDC Overdose Data to Action grant.
Cost of Rehab in Dallas
Treatment costs in Dallas track closely with Texas state averages, which vary substantially by level of care. Texas residents who enter residential treatment pay an average of $56,623 for a 30-day program, while outpatient programs average closer to $8,302 across a typical course of care. Given the higher cost of living and labor in the Dallas-Fort Worth metroplex, prices at private-pay facilities in Dallas tend to land at or above the state average, particularly for inpatient and luxury-tier care. For most people, using insurance for rehab dramatically lowers what they actually pay out of pocket.
These figures are averages and shift significantly based on the factors below. A short inpatient stay at a community-based program looks very different from a 90-day luxury residential program, and most people in Dallas pay only a fraction of the sticker price once insurance, financial assistance, or sliding-scale fees are applied.
How to Pay for Rehab in Dallas
Of the 70 facilities listed in Dallas, the vast majority accept multiple payment types so cost should rarely be the reason someone goes without care. 66 accept self-pay, 47 accept private insurance, and a meaningful subset accept Medicaid, Medicare, sliding-scale fees, or offer financial assistance. The breakdown below summarizes what facilities reported in public regulatory data.
Medicare
Medicare beneficiaries in Dallas can use Part A coverage for inpatient hospital-based detox and rehabilitation, and Part B coverage for outpatient counseling, medication management, and partial hospitalization. Coverage now also includes opioid treatment program services such as methadone and buprenorphine when delivered by SAMHSA-certified providers. Out-of-pocket costs depend on the deductible, coinsurance, and whether the beneficiary carries a Medigap or Medicare Advantage plan. The seven Dallas facilities that accept Medicare are a good starting point for older adults, retirees, and people on Social Security Disability Insurance.
Medicaid
Texas Medicaid is delivered through managed care programs including STAR (low-income families and children), STAR+PLUS (adults with disabilities and seniors), and STAR Health (foster youth). Substance use disorder benefits include outpatient counseling, intensive outpatient treatment, medication-assisted treatment, and time-limited residential detox with prior authorization. Texas has not expanded Medicaid under the ACA, so adult eligibility is narrower than in many other states, which is why the OSAR (Outreach, Screening, Assessment and Referral) network and state-funded indigent treatment slots play an especially important role in Dallas. When MAT is part of the care plan, Medicaid generally covers medication-assisted treatment using methadone, buprenorphine, or naltrexone.
Military Benefits
Active duty service members, retirees, and eligible family members in Dallas can use TRICARE to cover residential and outpatient substance use treatment. Veterans enrolled in VA health care can receive integrated addiction and mental health treatment at the VA North Texas Health Care System / Dallas VA Medical Center, which offers detox, residential rehab, intensive outpatient programming, and MAT for alcohol, opioid, and tobacco use disorders. The Dallas VAMC also runs targeted programming for women veterans, LGBTQ+ veterans, and veterans experiencing homelessness. Browse additional rehab resources for veterans and military for more on benefits and program eligibility.
Insurance and Private Pay
Federal parity law and Texas HB 10 require fully insured private health plans to cover substance use disorder treatment on terms comparable to medical and surgical care. In practice that means most major carriers cover medically necessary detox, residential treatment, intensive outpatient programs, and ongoing therapy, subject to in-network rules and prior authorization. Self-pay is still common for people seeking out-of-network programs, luxury or executive care, or programs that have chosen not to bill insurance.
- Aetna
- Blue Cross Blue Shield of Texas
- Cigna
- Humana
- Magellan Health
- Molina Healthcare
- Optum
- Superior HealthPlan
- UnitedHealthcare
Other Low-Cost Options
Beyond insurance, 14 Dallas facilities reported offering financial assistance, 11 offer sliding-scale fees based on income, and 9 offer payment plans or financing. The NTBHA OSAR team can screen uninsured residents and connect them with state-funded indigent treatment slots, and several local nonprofits accept clients regardless of ability to pay.
Free Treatment Programs
One Dallas-area facility reports offering treatment at no cost to all clients, and several others provide free care to clients who qualify by income, criminal-justice status, or veteran status. State-funded indigent treatment slots, the Salvation Army Adult Rehabilitation Center’s six-month residential work-therapy program, and VA care for eligible veterans are all paths into treatment without paying out of pocket. People considering this route can also explore rehab scholarships offered by individual facilities.
Levels of Care Available in Dallas
Dallas offers a full continuum of addiction treatment, with 40 medical detox programs, 35 inpatient or residential programs, 60 standard outpatient clinics, and 37 dual diagnosis programs for people managing co-occurring mental health conditions alongside a substance use disorder.
Medical Detox
Detox is the first step for people physically dependent on alcohol, opioids, benzodiazepines, or other substances where withdrawal can be medically dangerous. Medical detox programs in Dallas typically last three to seven days and combine 24-hour monitoring with medications that manage withdrawal symptoms and reduce risk.
Inpatient and Residential Rehab
Residential programs deliver structured treatment in a live-in setting, generally for 30, 60, or 90 days. They are the most appropriate setting for people with more severe substance use disorders, unstable home environments, or co-occurring conditions that need close supervision. Dallas’s inpatient rehab options range from hospital-based units to free-standing residential programs.
Partial Hospitalization and Outpatient Programs
Partial hospitalization (PHP) and intensive outpatient (IOP) programs sit between residential treatment and weekly counseling. PHP typically runs five to six hours a day, five days a week; IOP runs nine to fifteen hours a week. Standard outpatient treatment, which is the most common level of care in Dallas, can mean weekly therapy, medication management, or group counseling. Browse outpatient rehab and intensive outpatient programs for more on what each level looks like.
Dual Diagnosis (Co-Occurring) Treatment
More than half of Dallas’s listed facilities treat co-occurring disorders, integrating substance use care with treatment for conditions like co-occurring depression, anxiety, PTSD, or bipolar disorder. Integrated care produces better outcomes than treating the conditions separately.
Medication-Assisted Treatment
MAT combines FDA-approved medications such as buprenorphine, methadone, and naltrexone with counseling to treat opioid and alcohol use disorders. The Dallas VAMC, several Metrocare clinics, and a number of private programs offer MAT.
Sober Living and Aftercare
Sober living homes offer drug- and alcohol-free housing for people transitioning out of residential treatment, typically with house rules, peer accountability, and drug testing. Aftercare planning, including outpatient therapy, peer support meetings, and case management, is one of the strongest predictors of long-term recovery. Plan for rehab aftercare before leaving residential care, not after.
Specialty Programs in Dallas
Dallas treatment programs report a wide range of specialty tracks designed for specific populations and substance types. Targeted programming matters because what works for a young adult in college often will not fit a veteran, a parent in custody negotiations, or someone in their late sixties.
The largest specialty cohorts mirror what we see in the local overdose data and demographics: programs serving people with alcohol use disorder dominate the listings, followed by programs focused on opioid use disorder. Programs for young adults are heavily represented because Dallas is a relatively young metroplex, and gender-specific programming remains common across both inpatient and outpatient settings. People looking for affirming care can filter for one of the 10 facilities reporting LGBTQ+ affirming addiction care, and the five facilities offering targeted programming for veterans complement the broader benefits available through the Dallas VAMC.
Free and Low-Cost Rehab Resources in Dallas
If cost or insurance is a barrier, the resources below can connect Dallas residents with crisis support, screening and referral, harm reduction supplies, or free and low-cost treatment slots. Most are publicly funded or operated by established nonprofits.
Crisis lines
- 988 Suicide and Crisis Lifeline — Call or text 988 for free, confidential 24/7 support for suicidal ideation, mental health crisis, or substance use emergency. Find more suicide prevention resources and crisis support.
- NTBHA 24/7 Crisis Hotline — Call 866-260-8000 or 844-672-5700 for mental health and substance use crisis support across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties.
- SAMHSA National Helpline — Call 1-800-662-HELP (4357) for free, confidential 24/7 referrals to local treatment, support groups, and community-based organizations.
- Texas 211 — Dial 211 for help finding food, housing, substance use treatment, and other social services across Texas.
County health department
- Dallas County Health and Human Services (DCHHS) — 2377 N. Stemmons Freeway, Dallas, TX 75207. Call 214-819-2000. Runs the county’s Overdose Data to Action program, free naloxone distribution, and substance use prevention initiatives. Information at dallascounty.org.
Behavioral health authority and community providers
- North Texas Behavioral Health Authority (NTBHA) — 8111 LBJ Freeway, Suite 900, Dallas, TX 75251. Main line 877-653-6363; Dallas County intake 800-241-8716. Provides screening, referral, and access to publicly funded mental health and substance use treatment regardless of ability to pay. NTBHA also runs the OSAR program for Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties.
- Metrocare Services — 877-283-2121. North Texas’s largest nonprofit behavioral health provider, with multiple clinics across Dallas offering outpatient counseling, medication management, substance use programming, and veterans’ services on a sliding scale.
Harm reduction
- DCHHS Free Naloxone Program — Businesses, libraries, recreation centers, shelters, and community organizations in Dallas County can request free naloxone kits after completing a brief training. Submit a request through the DCHHS Alcohol and Substance Use Prevention page.
- DFW Harm Reduction Access Movement — Grassroots harm reduction organization providing naloxone, education, and resources to people who use drugs across the Dallas-Fort Worth area.
VA and military
- VA North Texas Health Care System / Dallas VA Medical Center — 4500 South Lancaster Road, Dallas, TX 75216. Main line 214-742-8387; mental health intake 800-849-3597. Offers integrated addiction and mental health treatment for eligible veterans, including detox, residential rehab, IOP, MAT, and specialized programming for women, BIPOC, and LGBTQ+ veterans.
- Veterans Crisis Line — Dial 988, then press 1, or text 838255 for confidential support 24/7.
Government and Medicaid
- Texas Health and Human Services Commission — Texas Medicaid (STAR / STAR+PLUS / STAR Health) eligibility and enrollment at hhs.texas.gov. Call 2-1-1 for application assistance.
- Texas DSHS Overdose Data to Action — Statewide overdose prevention coordination and community-based reporting tool at dshs.texas.gov.
Faith-based and nonprofit residential
- Salvation Army Adult Rehabilitation Center (Dallas) — 5554 Harry Hines Boulevard, Dallas, TX 75235. Call 214-352-5520. Free 180-day residential work-therapy program for adults ages 21 to 65; participants receive housing, meals, group and individual counseling, and spiritual guidance at no cost.
Drug and Alcohol Use Statistics in Dallas
Dallas County’s overdose picture changed sharply between 2019 and 2024. After climbing for five straight years and outpacing both the Texas and U.S. trend lines, fatal overdoses declined in 2024 as expanded naloxone distribution and opioid response teams took hold. Even with the recent decline, fentanyl remains the dominant driver of overdose deaths in Dallas County, and the long-term trajectory still shows substantially more loss of life than before the synthetic opioid crisis began. The shift is visible in national substance use statistics as well, where the U.S. saw its first overdose decline in five years in 2023.
Alcohol continues to compound the picture. Dallas County had the second-highest DWI crash rate in Texas in 2023, and the city of Dallas recorded 148 alcohol-related traffic deaths that year, a reminder that opioid statistics are only part of the substance use burden carried by the region.
Resources
- Dallas County Health and Human Services. (2025). Overdose Data to Action: 2024 Annual Surveillance Report of Preliminary Trends in Drug Overdoses in Dallas County. https://www.dallascounty.org/departments/dchhs/public-health/alcohol-substance/reports.php
- Dallas County Health and Human Services. (2025). Alcohol and Substance Use Prevention: Harm Reduction Resources. https://www.dallascounty.org/departments/dchhs/public-health/alcohol-substance/harm-reduction-resources.php
- Dallas County District Attorney. (2025). Fentanyl Deaths Declining in DFW: Data Shows Progress. https://www.dallascounty.org/government/district-attorney/blog-posts/2025/07212025-fentanyl-deaths-declining.php
- Dallas County Criminal Justice Department. (2025). DIVERT Court Program. https://www.dallascounty.org/departments/criminal-justice/divert-court-program.php
- North Texas Behavioral Health Authority. (2026). About NTBHA and Local Resources. https://ntbha.org/
- Texas Health and Human Services Commission. (2025). Find Your Local Mental Health or Behavioral Health Authority. https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-substance-use-resources/find-your-local-mental-health-or-behavioral-health-authority
- Texas Health and Human Services Commission. (2025). Medicaid and CHIP: Mental Health and Substance Use Disorder Parity. https://www.hhs.texas.gov/services/health/medicaid-chip/about-medicaid-chip/mental-health-substance-use-disorder-parity
- Texas Department of State Health Services. (2025). Texas Overdose Data to Action. https://www.dshs.texas.gov/injury-prevention/texas-overdose-data-action
- Federal Reserve Bank of Dallas. (2025). Has the opioid crisis peaked in Texas and the U.S.? https://www.dallasfed.org/research/swe/2025/swe2516
- National Center for Drug Abuse Statistics. (2024). Average Cost of Drug Rehab by State. https://drugabusestatistics.org/cost-of-rehab/
- U.S. Census Bureau. (2025). Vintage 2024 Population Estimates: Metropolitan Statistical Areas. https://www.census.gov/
- U.S. Department of Veterans Affairs. (2026). VA North Texas Health Care System. https://www.va.gov/north-texas-health-care/
- The Salvation Army of North Texas. (2025). Adult Rehabilitation Center: Combat Addiction. https://salvationarmyntx.org/north-texas/combat-addiction/
- Substance Abuse and Mental Health Services Administration. (2024). National Helpline and Treatment Locator. https://findtreatment.gov/
