Compare 64 addiction treatment centers in and around San Antonio, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Texas for yourself or someone you love.
145 La Hacienda Way Southwest · Hunt, TX 78024Hunt, TX 78024
Hunt · Detox, Inpatient, Outpatient
La Hacienda Treatment Center provides substance abuse care in Hunt, Texas. The serene, 40-acre campus offers an escape from busy schedules so guests can focus on healing. The facility is only 90 miles from San Antonio and 120 miles from…
1546 N. 2nd Street · Abilene, TX 79601Abilene, TX 79601
Abilene · Detox, Inpatient, Outpatient
Located in Abilene, Texas, is the Serenity House Abilene Treatment Facility. They have been offering support for substance abuse and mental health disorders since 1984. Since its launch, Serenity House has helped over 36,000 people break free from addiction. The…
7510 FM 1886 · Azle, TX 76020Azle, TX 76020
Azle · Detox, Inpatient, Men
Stonegate Center is an addiction treatment center that provides a unique set of residential treatment options. Located in the countryside west of Fort Worth and southwest of Azle, Texas, their approach combines evidence-based treatments for addiction and compassionate spiritual principles.…
230 Mesa Verde Drive · Center Point, TX 78010Center Point, TX 78010
Center Point · Detox, Inpatient, Outpatient
Starlite Recovery Center provides substance abuse and mental health treatment for adults. They have inpatient and outpatient tracks at their facility is in a secluded corner in Center Point, Texas. Specialized Programming for LGBTQ+ Members They have specialized tracks for…
1626 Medical Center Street · El Paso, TX 79902El Paso, TX 79902
El Paso · Inpatient, Outpatient
El Paso, Texas, is a desert city close to the Franklin Mountains and home to Aliviane. This is a drug and alcohol rehab for adults and adolescents. They take adults in for treatment onsite or offer part time counseling and…
3330 70th Street Suite 120 · Lubbock, TX 79413Lubbock, TX 79413
Lubbock · Inpatient, Outpatient
Aspire Recovery Center provides substance abuse treatment for adults. It's a family-owned facility with spacious accommodations. Their staff emphasizes compassion and treats each guest like a family member. They’re based in a quiet corner of suburban Lubbock, Texas. Addressing Underlying…
4306 Capitol Avenue · Dallas, TX 75204Dallas, TX 75204
Dallas · Detox, Inpatient, Outpatient
Discovery Point Retreat is in Dallas, Texas, and provides substance addiction and co-occurring mental health treatment for adults. The facility is in the heart of downtown metropolitan Dallas. Flexible Treatment Options Their Dallas location includes outpatient treatment so clients have…
2301 Avenue J · Arlington, TX 76006Arlington, TX 76006
Arlington · Detox, Inpatient, Outpatient
Greenhouse Outpatient Treatment Facility is located in Arlington, Texas. They provide outpatient and partial hospitalization programs (PHP) for residents battling mental health or substance abuse disorders. The facility doesn’t accept insurance plans like Medicaid and Medicare. But they’ll accept most…
1406 Quinlan Street · Lubbock, TX 79403Lubbock, TX 79403
Lubbock · Outpatient
The Ranch at Dove Tree provides drug and alcohol treatment for adults. They're based out in Lubbock, Texas. The West Texas location offers a serene and natural setting where you can relax and focus on recovery without outside distractions. Safe…
3111 Yupon Street · Dickinson, TX 77539Dickinson, TX 77539
Dickinson · Detox, Inpatient, Outpatient, Women
Serving Dickinson, Texas, Bay Area Recovery Center Women's Drug and Alcohol Rehab offers inpatient addiction treatment and detox services. The founders of Bay Area Recovery are in recovery themselves, and they believe this helps with their continued commitment and passion…
5344 Alpha Road dallas · Dallas, TX 75240Dallas, TX 75240
Dallas · Outpatient
Lighthouse Recovery Texas is a center in Dallas, Texas offering partial hospitalization, intensive outpatient, sober living and recovery coaching for adult men with substance use and co occurring mental health disorders. Its programs include therapy with psychiatric support covered by…
6404 Ridge Oak Rd · Austin, TX 78749Austin, TX 78749
Austin · Detox, Inpatient, Outpatient
Heartwood Recovery is an innovative addiction treatment center located in the Oak Hill area of Austin, Texas. Their residential and outpatient treatment programs are designed to help adult men overcome drug and alcohol addictions. At the core of their program…
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Alpha Home – Camden Residence |
419 East Magnolia Avenue, San Antonio, TX 78212 |
Alpha Home was established in 1966 for adults in San Antonio, Texas. They treat substance misuse and feature a specialized residential center for women. Inpatient Care and Outpatient Options Their women's residential treatment offers 24-hour care in a home-like setting. Each room can accommodate up to four women. They receive mentorships from their sister alumni to guide them through the… |
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New Choices Treatment Center |
3050 Eisenhauer Road san-antonio, San Antonio, TX 78209 |
New Choices Treatment Center provides substance abuse recovery solutions for adults in San Antonio, Texas. The team creates personalized treatment plans that cater to unique needs and challenges that often come with addiction. They accept most health insurance plans and former clients have mentioned experiencing a welcoming atmosphere with customized treatment. Immersive Care for Healing I like that they offer… |
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New Season Treatment Center – NW San Antonio |
3615 Culebra Road, San Antonio, TX 78228 |
New Season Treatment Center provides opioid abuse care in San Antonio, Texas. They also service several surrounding areas, like Alamo Heights, Kirby, and China Grove. They’re open every day, including holidays and weekends. Withdrawal Management Services They provide medication assisted treatment (MAT) to help ease withdrawal symptoms and reduce cravings. MAT is combined with counseling services to address the underlying… |
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SOBA Texas |
1401 Dezarae, San Antonio, TX 78253 |
SOBA Texas is a San Antonio addiction treatment center serving adults and young adults with substance use disorders and co-occurring mental health conditions. The program offers a full continuum of care from medical detox and residential treatment through outpatient services, sober living and aftercare. Set on a country ranch spanning more than 20 acres SOBA Texas combines clinical care with… |
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San Antonio Recovery Center |
5806 Culebra Rd, San Antonio, TX 78228 |
San Antonio Recovery Center (SARC) features a program based on the 12 Step philosophy to help adults get over addictions. The San Antonio, Texas, location offers a curriculum that lasts 10 weeks. A Relaxing Recovery Space Clients want to feel comfortable and safe during treatment. They provide outdoor areas complete with a garden where you can de-stress. The team encourages… |
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Blue Heron Recovery |
2015 NE Interstate 410 Loop, San Antonio, TX 78217 |
Break the cycle of addiction with Blue Heron Recovery. It’s based in San Antonio, Texas, on a serene and sprawling campus with 18 acres. Clients of all ages can access accredited drug rehab services and support. Make the most of their 24/7 and same-day admissions, and take the first steps towards your healing on one of the facility’s many treatment… |
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The Right Step – San Antonio Alcohol & Drug Rehab Center |
12042 Blanco Road, 101, San Antonio, TX 78216 |
Positive Recovery Centers is an outpatient addiction facility located in a suburban corner of San Antonio, Texas, and provides treatment and programs for individuals fighting mental health or substance abuse disorders. The facility accepts most private insurance plans, self pay and has financial assistance programs that may cover the cost of some services. A Supportive and Flexible Treatment Environment Positive… |
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Infinite Recovery Treatment Center San Antonio Community Outreach |
3463 Magic Dr Suite T14, San Antonio, TX 78229 |
Infinite Recovery Behavioral Health has several locations throughout Texas, including the facility in San Antonio. They offer addiction and co-occurring mental health disorder treatment services, including detox and virtual outpatient programs. They accept insurance from most major providers. Customized Addiction Treatment in San Antonio San Antonio is a city rich in history and home to the Alamo, where the famous… |
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Laurel Ridge Treatment Center Mission Resiliency Programs |
17720 Corporate Woods Drive, San Antonio, TX 78259 |
Laurel Ridge Treatment Center Mission Resiliency Programs is a San Antonio behavioral health and substance use facility serving veterans, military families, adolescents and adults. The center offers detox, inpatient, partial hospitalization and outpatient care for addiction and co-occurring mental health conditions. Set on a private college-like campus, Laurel Ridge is designed to support lasting recovery with fewer outside distractions. Military… |
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Center for Healthcare Services Northwest Clinic |
5372 Fredericksburg Road Building F, San Antonio, TX 78229 |
Center for Healthcare Services Northwest Clinic is a behavioral health and substance use treatment program in San Antonio, Texas providing outpatient care for adolescents and adults. Located at 5372 Fredericksburg Road the clinic offers individualized therapy, co-occurring disorder treatment and coordinated behavioral health services. As part of the long standing Center for Health Care Services network, it emphasizes accessible and… |
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Laurel Ridge Treatment Center |
17720 Corporate Woods Drive, San Antonio, TX 78259 |
Laurel Ridge Treatment Center is an addiction treatment center in San Antonio, Texas. Inpatient care here is for adults 18 and over, with a track for women, a track for men, and one for transitional age young adults. They offer supervised detox as part of substance use treatment, and they also treat mental health conditions. Admissions are limited |
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Lifetime Recovery |
96 Crossroads Boulevard, San Antonio, TX 78201 |
Located in San Antonio, Texas, is Lifetime Recovery. This is a drug and alcohol treatment facility that provides outpatient care to help you work through your addiction challenges. Many people who receive services here have stepped down from a Lifetime Recovery residential program, although you can seek out care here if you've received treatment elsewhere. Accessible Addiction Treatment As the… |
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MedMark Treatment Centers San Antonio |
7428 Military Drive West Suite D, San Antonio, TX 78227 |
MedMark Treatment Centers San Antonio Military is an addiction treatment center in San Antonio, Texas. They help adults with opioid use disorder can get outpatient medication treatment. Treatment covers dependence on heroin, fentanyl and prescription painkillers, along with co-occurring mental health conditions. Opioid Treatment and MAT Medication assisted treatment at this center uses methadone or buprenorphine. Methadone is an extended… |
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New Season San Antonio Treatment Center |
3701 West Commerce Street, San Antonio, TX 78207 |
New Season San Antonio Treatment Center is an outpatient addiction treatment provider in San Antonio, Texas specializing in medication assisted treatment for opioid use disorder. The program pairs medications like methadone, buprenorphine and Suboxone with counseling under physician led care. Reviewers often highlight the strong group counseling and caring, dedicated staff who support long term recovery. What kinds of treatment… |
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River City Rehabilitation Center |
680 Stonewall Street, San Antonio, TX 78214 |
River City Rehabilitation Center, Inc. is an outpatient substance use treatment provider in San Antonio, Texas specializing in medication supported recovery for adults. The clinic offers outpatient addiction treatment, methadone maintenance for opioid dependence and Antabuse assisted care for alcohol use disorder, paired with individual counseling and long term recovery support. Many appreciate the multidisciplinary team and the early morning… |
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San Antonio Behavioral Healthcare Hospital |
8550 Huebner Road, San Antonio, TX 78240 |
San Antonio Behavioral Healthcare Hospital is a substance use and behavioral health treatment center in San Antonio, Texas offering a full continuum of care for adults, adolescents and military members, veterans and families. Located at 8550 Huebner Road in the Northwest San Antonio Medical Center, this 198 bed acute care hospital provides detox, inpatient and partial hospitalization, intensive outpatient and… |
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San Antonio Council on Alcohol and Drug Awareness |
7500 Highway 90 Dave Coy Building, Suite 201, San Antonio, TX 78227 |
San Antonio Council on Alcohol and Drug Awareness offers free addiction support services in person and online. They operate out of San Antonio, Texas and serve Bexar and nearby counties. They provide medication assisted treatment for people who don’t have enough health coverage to finance this. They also hire recovery coaches to help you remove barriers to your recovery. A… |
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University Hospital |
4502 Medical Drive, San Antonio, TX 78229 |
University Hospital is a hospital based behavioral health and substance use treatment provider in San Antonio, Texas offering care for adults through University Health's main campus on Medical Drive. As a major academic teaching hospital and Level I trauma center it provides inpatient and outpatient behavioral health services, psychiatric evaluations, and co-occurring disorder treatment. Patients benefit from a multidisciplinary team… |
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WestCare Foundation Texas San Antonio |
1023 North Pine Street, San Antonio, TX 78202 |
WestCare Foundation Texas is a nonprofit substance use treatment program in San Antonio, Texas offering community based behavioral health services for substance use disorders and co-occurring mental health conditions. The program provides outpatient care and prevention services, residential support and specialized recovery housing. As part of the broader WestCare network, the center delivers person centered, trauma informed care rooted in… |
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A Turning Point Counseling and Rehab Center |
3201 Cherry Ridge Suite B 206-1, San Antonio, TX 78230 |
A Turning Point Counseling and Rehab Center provides behavioral health specializing in substance abuse rehab alongside individual, marital and family counseling. The program treats alcohol, drug and other addictions, as well as trauma, PTSD symptoms, depression, anxiety and mood concerns. With a practical skills-based philosophy, the center offers personalized care designed to give clients concrete tools, feedbac, and hope on… |
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Elite Counseling |
700 South Zarzamora Street Suite 209, San Antonio, TX 78207 |
Elite Counseling is an outpatient substance use treatment program in San Antonio, Texas serving adolescents and adults seeking recovery from drug and alcohol addiction. The program offers outpatient and intensive outpatient services along with counseling for substance use and co-occurring mental health needs. Elite Counseling emphasizes evidence based and person centered care designed to support clients across diverse backgrounds and… |
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The Center for Health Care Services The Restoration Center |
601 North Frio, San Antonio, TX 78207 |
The Restoration Center is an addiction treatment center in San Antonio, Texas. Its restoration and transformational services are for adults. The CHCS residential detox unit handles detox from any substance, and the center also offers short term residential assistance, outpatient and intensive outpatient treatment, and medication assisted treatment for opioid addiction. OSAR Screening in Region 8 OSAR covers Bexar County,… |
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Guadalupe Regional Medical Center Teddy Buerger Center |
1215 East Court Street, San Antonio, TX 78155 |
Guadalupe Regional Medical Center Teddy Buerger Center (TBC)is located in San Antonio, Texas, and is the only treatment center in the county that provides outpatient services for both substance use disorders and mental health conditions to people of all ages. It’s on the outskirts of downtown to give clients plenty of privacy. In existence since 1992, they’re licensed and accredited… |
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Volunteers of America San Antonio Office |
6487 Whitby Road, San Antonio, TX 78240 |
Volunteers of America San Antonio Office is a rehab located in San Antonio, Texas. Volunteers of America San Antonio Office specializes in the treatment of addiction. |
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Methodist Healthcare Inpatient Chemical Dependency |
8026 Floyd Curl Drive, San Antonio, TX 78229 |
Methodist Healthcare Inpatient Chemical Dependency is a rehab located in San Antonio, Texas. Methodist Healthcare Inpatient Chemical Dependency specializes in the treatment of addiction. |
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No centers match all of these filters.
Treatment centers in nearby cities, closest to San Antonio first. Filter by insurance, level of care, and who the program is designed for.
Treatment costs in San Antonio generally track Texas statewide averages. According to the National Center for Drug Abuse Statistics, residential rehab in Texas averages around $51,200 per person, while outpatient programs average closer to $8,500. Detox programs across the state typically run $250 to $800 per day, with a standard 7-day program costing roughly $1,750 to $5,600 before insurance.
Because San Antonio is a large urban market with high volumes of Medicaid and publicly funded treatment, self-pay rates at some facilities can be lower than in smaller Texas cities. Costs vary significantly by facility type, program length, and the amenities offered.
Treatment cost points to know in San Antonio
Cost points: just over half of San Antonio programs accept Medicaid · across Bexar County, 20.7% of adults were uninsured in 2024 · fees slide with income at 12 of the 64 programs · the local metro runs about 5% below the national average · overall treatment affordability across states ranks Texas 18th
Of the 65 addiction treatment facilities in San Antonio, 59 accept self-payment, 53 accept private insurance, 35 accept Texas Medicaid, and 22 accept Medicare. For veterans and active-duty service members, 29 facilities accept TRICARE. The city also has options for people who need low- or no-cost care, including 27 facilities that offer some form of financial assistance, 13 that offer sliding-scale fees, and 2 that provide treatment at no charge.
55 accept private health insurance
58 accept self-payment or cash
Most ACA-compliant private insurance plans sold in Texas are required to cover substance use disorder treatment at parity with other medical benefits under the Mental Health Parity and Addiction Equity Act. Major carriers active in the San Antonio market include Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana. Call the member services number on your insurance card to verify which San Antonio facilities are in-network before committing to a program.
34 accept Texas Medicaid
Texas Medicaid covers substance use disorder treatment for eligible low-income adults, children, and pregnant women through its managed care programs, primarily STAR and STAR+PLUS. Coverage includes outpatient counseling, residential treatment, detox, and medication-assisted treatment for opioid use disorder.
MAT medications like buprenorphine and naltrexone are covered benefits under both programs. Thirty-five San Antonio facilities accept Texas Medicaid; if you are unsure of your eligibility, call 211 or contact CHCS (210-261-3076) to reach the OSAR program, which can help identify funded treatment slots at no cost to the caller.
21 accept Medicare
Medicare covers medically necessary addiction treatment for adults 65 and older, as well as certain younger adults with qualifying disabilities. Coverage includes inpatient detox through Part A, outpatient therapy under Part B, and, since January 2024, intensive outpatient programs (IOP) at eligible facilities. Medicare Advantage plans may offer additional behavioral health benefits.
Twenty-two facilities in San Antonio accept Medicare. For a full breakdown of what Medicare pays for and what to ask a facility before enrolling, review this guide to how insurance covers addiction treatment.
With Joint Base San Antonio anchoring the city's large military community, 29 facilities in the directory accept TRICARE. TRICARE covers substance use disorder treatment, including detox, inpatient care, outpatient programs, and MAT, for active-duty service members, National Guard and Reserve members, and their families.
Coverage terms vary by TRICARE plan (Prime, Select, and others), so verify benefits before starting. Facilities that serve veterans and military personnel are also listed on the veterans and military addiction resources page.
2 offer free treatment
For people who cannot afford treatment, San Antonio has publicly funded options. CHCS accepts patients regardless of ability to pay and coordinates access to state-funded treatment slots through the OSAR program. Cenikor's San Antonio facility offers MAT and comprehensive services at no cost to qualifying women in Bexar County through a county partnership. Two facilities in the directory offer free treatment; 27 offer financial assistance. You can also search for rehab scholarships that may offset costs at private programs.
12 offer sliding-scale fees
Sliding-scale fees are based on what a person can pay. Of the 64 treatment programs based in San Antonio, 12 offer sliding-scale fees.
Expert insight
“It will be very interesting to see what kind of impact peer support has on the recovery process as a whole.”
It’s no secret that Texas is in the middle of an overwhelming opioid epidemic. And while we normally hear nothing but doom and gloom when we talk about the opioid crisis, I ran across some encouraging and exciting news for once and wanted to share it. The University of Texas Health Science Center at San Antonio (UT Health San Antonio) was recently awarded a massive $1.8 million grant from the National Institutes of Health (NIH) in order to study peer recovery support systems and services for those struggling with opioid use disorder.
We know that medication-assisted treatment with buprenorphine (Suboxone) is considered the “gold standard of care” for opioid addiction, recent data seems to indicate that certain types of support services can actually increase the effectiveness of addiction treatment and help to support long-term recovery.
NIH is providing the grant money to UT Health San Antonio in order to study emerging “peer” recovery support systems, which includes people who have lived experience with addiction, they are in long-term recovery, and have specialized training to support others during their recovery process through non-clinical means. Examples include things like mentorship, occupational training, transitional housing, and aftercare programs.
Frequently asked questions
Every rehab center listed on Addictions.com is verified against public licensing and federal treatment databases before it appears in our directory. We do not accept payment from facilities in exchange for higher placement. Listings are ordered using a combination of factors that matter most to people searching for care: verified state licensure or national accreditation (Joint Commission, CARF), the range of levels of care available, accepted payment types including Medicaid and Medicare, and the availability of specialized programs for populations with distinct clinical needs.
Facilities that hold more accreditations and serve a broader range of patients rank higher. We review and update listings regularly to reflect changes in licensure, services, and contact information.
San Antonio sits in Bexar County in South-Central Texas, roughly 80 miles southwest of Austin and 150 miles north of the Mexico border. The city is home to 65 licensed addiction treatment facilities offering everything from medical detox and residential care to standard outpatient programs, making it one of the better-resourced metros in the state for people seeking help. You can browse all of them on the Texas rehab directory.
Bexar County’s primary public behavioral health authority is the Center for Health Care Services (CHCS), a Certified Community Behavioral Health Clinic that has served the county for more than 50 years. CHCS operates outpatient substance use treatment, medication-assisted treatment for opioid use disorder, a 24-hour crisis and detox unit called the Restoration Center, and an Outreach, Screening, Assessment and Referral (OSAR) program that can connect people to treatment regardless of ability to pay.
In October 2025, Bexar County opened an expansion to the Applewhite Recovery Center, adding 130 residential beds dedicated to people with co-occurring mental health and substance use disorders.
San Antonio also hosts the Be Well Institute on Substance Use and Related Disorders at UT Health San Antonio, a research and clinical center that in 2025 received $256 million in state funding to expand medication-assisted treatment and recovery services statewide. The Naloxone Texas program distributes free overdose reversal medication to individuals and organizations throughout Texas.
Methamphetamine is the primary driver of overdose deaths in Bexar County, which declared a public health crisis over rising overdose rates in November 2024. Stimulant- and opioid-related death rates in the county both exceed the Texas statewide average.
People seeking methamphetamine addiction treatment or opioid treatment will find San Antonio has dedicated programs for both. The city’s large active-duty and veteran population, tied to Joint Base San Antonio and Lackland AFB, makes veterans’ programming particularly relevant. To that end, 14 of the 65 facilities in the directory offer programs designed specifically for veterans and active-duty service members.
San Antonio’s 65 facilities collectively offer a broad continuum of care. There are 37 medical detox programs and 40 inpatient residential programs in the city, along with 55 standard outpatient clinics, 3 partial hospitalization programs, and 41 dual diagnosis programs for people managing co-occurring mental health and substance use disorders.
Medical detox is the supervised process of clearing substances from the body safely. For alcohol, opioids, and benzodiazepines especially, withdrawal can be medically serious, making 24-hour supervision necessary. San Antonio has 37 programs offering medical detox, including the CHCS Restoration Center, which operates a 24/7 crisis stabilization and sobering unit.
Inpatient and residential rehab provide structured, 24-hour care in a live-in setting, typically lasting 30 to 90 days. It is the most intensive non-hospital level of care and is appropriate for people who need to step away from their home environment to stabilize. San Antonio has 40 inpatient rehab programs, including the expanded Applewhite Recovery Center, which added 130 beds in 2025 for people with co-occurring conditions.
Partial hospitalization programs (PHP) provide structured treatment for several hours a day, several days a week, while allowing patients to return home or to a sober living environment at night. Three programs in San Antonio offer PHP. It is commonly used as a step-down from inpatient care or as a higher level of outpatient care for people who need more structure than standard weekly therapy. Learn more about PHP treatment and what to expect.
Standard outpatient programs are the most flexible level of care, with sessions typically meeting one to three times a week. With 55 outpatient clinics in the directory, San Antonio has the broadest access to this level of care. It is well-suited for people who have completed a higher level of treatment, have a stable home environment, or have a milder use disorder. Review options at outpatient rehab.
Dual diagnosis treatment addresses substance use disorders and co-occurring mental health conditions such as depression, anxiety, PTSD, or bipolar disorder simultaneously. With 41 co-occurring disorder programs in San Antonio, this is one of the most widely available program types in the city. Treating both conditions together leads to better long-term outcomes than treating each separately. People with untreated co-occurring depression or anxiety disorders are strongly encouraged to seek a facility with integrated dual diagnosis programming.
For people finishing treatment, a clear plan for what comes next is one of the most important factors in long-term recovery. Learn about rehab aftercare and continuing care options, including outpatient support, alumni programs, and peer recovery groups.
Many San Antonio facilities offer programs tailored to specific populations or substances, reflecting the city’s diverse demographics and the clinical reality that people benefit from care designed for their circumstances. Eight specialty program types are represented across the 65 facilities in the directory.
For people who cannot afford private treatment or who need immediate help navigating the system, San Antonio has a range of publicly funded and nonprofit resources. The crisis lines and OSAR program below are the fastest entry points. If you are in crisis, call the CHCS 24-hour helpline or dial 988; both connect you to trained counselors around the clock.
This section also includes crisis and suicide prevention resources for people who may be struggling with more than one issue at once.
988 Suicide and Crisis Lifeline: Dial or text 988 from anywhere in the US. Available 24 hours a day for mental health and substance use crises. Spanish-language support available. https://988lifeline.org/
CHCS 24-Hour Crisis and Substance Use Helpline: 1-800-316-9241 or 210-223-7233. Operated by the Center for Health Care Services. Available around the clock for Bexar County residents experiencing a substance use or mental health crisis. Counselors can direct callers to walk-in, emergency, or inpatient services. https://chcsbc.org/
SAMHSA National Helpline: 1-800-662-4357 (HELP). Free, confidential, 24/7 treatment referral line in English and Spanish. Can locate publicly funded treatment programs near you. https://www.samhsa.gov/find-help/helplines/national-helpline
Center for Health Care Services (CHCS): 210-261-2427 (general) | OSAR line: 210-261-3076. The county’s primary behavioral health authority. Provides outpatient substance use treatment, MAT for opioid use disorder, case management, and psychiatric care on a sliding-scale basis. The OSAR program (Monday-Friday, 8 a.m. to 5 p.m.) can screen and refer people who are unsure where to start. No one is turned away for inability to pay. https://chcsbc.org/
San Antonio Council on Alcohol and Drug Awareness (SACADA): 210-225-4741 A nonprofit operating since 1957. Provides free drug and alcohol assessments, court-mandated education, peer recovery coaching, youth prevention programs, and referrals. SACADA’s Project AMOR offers peer-to-peer recovery support for women and their families at no cost. https://sacada.org/
Haven for Hope: 210-220-2100 1 Haven for Hope Way, San Antonio, TX 78207. Campus-based social services hub for people experiencing homelessness, including on-site substance use counseling, mental health support, case management, and connections to residential treatment programs. Services are available at no cost to qualifying Bexar County residents. https://www.havenforhope.org/
Naloxone Texas / Be Well Institute at UT Health San Antonio: Provides free naloxone (Narcan) to individuals and organizations throughout Texas via an online request form. Individuals can request two-dose boxes by mail. Also offers free overdose recognition and response training. This is a San Antonio-based program; distribution is statewide. https://bewelltexas.org/
University Health SMASH and STOP Programs: University Health operates community harm reduction programs in Bexar County, including free naloxone distribution and referrals to opioid treatment services. The STOP program aims to reduce opioid use disorder in South Texas. https://www.universityhealth.com/public-health
San Antonio is home to the South Texas VA Health Care System, anchored by Audie L. Murphy Memorial Veterans’ Hospital, which provides both inpatient and outpatient substance use treatment for eligible veterans. The system operates multiple community-based outpatient clinics across the city. Call the Consolidated Outpatient Appointment Center at 210-949-9702 to schedule an appointment. In crisis, veterans can reach the Veterans Crisis Line by dialing 988 and pressing 1. See additional rehab resources for veterans and military families on Addictions.com.
Dial 211 (United Way of Bexar County) to reach a live operator who can connect you to local social services including housing, food assistance, and health care referrals. Available 24 hours a day. This is also an effective entry point for people who are unsure which specific program to contact first.
Bexar County recorded 509 drug overdose deaths in 2023, the highest annual total in the county’s history and an increase from 498 in 2022, according to a Public Health Watch analysis of CDC provisional data. Methamphetamine was the leading driver, involved in 327 of those deaths.
In November 2024, the San Antonio City Council formally declared overdoses a public health crisis, citing a death rate that exceeds both the Texas statewide and national averages and noting a large uninsured population that struggles to access care.
Opioid-related emergency department visits in Texas Public Health Region 8, which covers the San Antonio area, totaled 721 in 2021, the most recent year for which regional figures are available, representing 54 per 100,000 emergency visits.
The opioid prescription rate in Bexar County fell 19% between 2016 and 2020, from 546 to 441 per 1,000 adults, according to CDC data. Despite that decline, illicit opioids, particularly fentanyl, remain a significant concern. For national context on overdose trends, see substance use statistics from Addictions.com.
Bexar County health officials have noted that a large uninsured population limits access to treatment, with the city’s Chief Mental Health Officer describing access to care as a key challenge. The city’s opioid settlement funds, totaling $909,000 for 2024 and 2025, are being deployed for naloxone distribution, community outreach, and educational programming through Metro Health.
Medical reviewer
Libby Pelligrini, MMS, PA-C
Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…
Read bioPhysician Assistant & Medical Writer. Read bio
Author
Olivia Pennelle
Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…
Read bioCounselor, Expert Author, Podcaster. Read bio
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