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Drug & alcohol rehab centers in Richmond, VA

46 treatment centers in and around Richmond, reviewed against accreditation and licensing standards. Filter by level of care, what you can pay, and who the program is built for. Below the listings: what rehab costs here, how to pay for it, and a note from one of our experts.

  • 38 outpatient programs
  • 24 inpatient rehabs
  • 21 detox clinics

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All 46 centers in Richmond

Showing 1–25

Thumbnail Name Address Phone Treatment Insurance
McShin Foundation VA 23228

McShin Foundation

2300 Dumbarton Road, Richmond, VA 23228

If you’re looking for something that feels less like a clinic and more like a community, the McShin Foundation in Richmond, Virginia, might be exactly what you need. This isn’t your typical rehab. McShin is a Recovery Community Organization that’s all about authentic peer-led recovery support. It’s grounded in lived experience, not just textbooks, and it shows in everything they…

  • Inpatient
New Season Richmond Treatment Center

New Season Richmond Treatment Center

3021 Mechanicsville Turnpike, Richmond, VA 23223

Adults 18 and over, of any gender, are admitted for opioid treatment at New Season Treatment Center. It's an addiction treatment center in Richmond, Virginia, with tracks that include pregnant and postpartum patients, veterans and court referrals. Walk-In Care in Richmond You can walk in during business hours without an appointment. New Season serves Richmond and the surrounding area, and…

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance
The Coleman Institute Richmond

The Coleman Institute Richmond

204 North Hamilton Street Suite B, Richmond, VA 23221

The Coleman Institute provides substance use treatment in Richmond, Virginia. They specialize in opioid and alcohol detox, helping clients with the tools to overcome addiction and start a path to recovery. The Coleman Method The Coleman Method is a different form of detox treatment. They use Naltrexone therapy to help reduce opioid or alcohol cravings and stop clients from feeling…

  • Detox
  • Private insurance
Map showing New Season Southside Treatment Center

New Season Southside Treatment Center

9609 Jefferson Davis Highway, Richmond, VA 23237

New Season Treatment Center provides opioid addiction care in Richmond, Virginia and the surrounding communities including Bellwood, Bensley, Chester, Chesterfield, Wilkinson Terrace and Midlothian. Withdrawal Management Medication-assisted treatment (MAT) is available to help lessen withdrawal symptoms and reduce drug cravings. They use FDA-approved medicines like methadone or buprenorphine to make guests more comfortable during treatment. Withdrawal is medically supervised to…

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance
Map showing True Recovery RVA

True Recovery RVA

2604 N Parham Rd, Richmond, VA 23294

Folks in Richmond, Virginia, who are on the path to lasting recovery from substance use and any mental health challenges will find a welcoming and well-organized spot at True Recovery RVA. Since 2017 this place has been putting clinical know-how together with strong community backing, which really makes it stand out for adults wanting a more balanced way forward. They’re…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
River City Comprehensive Counseling Services VA 23228

River City Comprehensive Counseling Services

2604 N Parham Rd, Third Floor, Richmond, VA 23294

You'll find River City Comprehensive Community Services near Upham Brook in Richmond Virginia. They provide mental health and substance abuse treatment. Their addiction care programs are for adults and include partial hospitalization programs and intensive and general outpatient treatment programs. They also have a recovery housing program you may qualify for. They utilize a holistic, goal oriented treatment approach with…

  • Outpatient
  • Medicaid
  • Private insurance
AppleGate Recovery Richmond VA 23221

AppleGate Recovery Richmond

204 North Hamilton Street Suite B, Richmond, VA 23221

AppleGate Recovery in Richmond, Virginia specializes in treatment for adults facing opioid and alcohol addiction. The program combines treatment and case management to support whole-person recovery. AppleGate's judgment-free model is designed to help adults rebuild their lives without stepping away from work, family or daily responsibilities. Outpatient Medication-Assisted Treatment AppleGate Recovery focuses on office-based outpatient medication assisted treatment for adults…

  • Outpatient
  • Private insurance
Archstone Counseling and Treatment VA 23226

Archstone Counseling & Treatment

1007 Peachtree Boulevard, Richmond, VA 23226

Archstone Counseling and Treatment provides substance addiction treatment in Richmond, Virginia. They offer an intensive outpatient program that also addresses co-occurring mental health conditions, but your primary diagnosis must be related to substance abuse. All guests have a nonjudgmental setting to concentrate on recovery. The goal is to help you have a new foundation for a sober life. Their counseling…

  • Outpatient
  • Medicaid
  • Private insurance
Bon Secours St Marys Behavioral Health Services Inpatient VA 23226

Bon Secours St Marys Behavioral Health Services Inpatient

5801 Bremo Road, Richmond, VA 23226

Bon Secours St Marys Behavioral Health Services Inpatient is a hospital-based addiction treatment center in Richmond, Virginia offering inpatient substance use and co-occurring disorder care for adults. Located within St. Mary's Hospital the program provides combines evidence based therapies, 12 step support, and integrated behavioral health care within the Bon Secours network. Medical Detox and Inpatient Treatment Treatment often begins…

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance
Chippenham Hospital Tucker Pavilion VA 23225

Chippenham Hospital Tucker Pavilion

7101 Jahnke Road, Richmond, VA 23225

Chippenham Hospital’s Tucker Pavilion is located in Richmond, Virginia. This medical facility serves children, adults, and seniors, providing behavioral health and addiction recovery support to those who are ready to start recovery. The Tucker Pavilion offers inpatient and outpatient care, though referrals to more robust services can be made. You’ll work with trained medical staff, therapists, and other professionals to…

  • Detox
  • Inpatient
  • Medicaid
  • Private insurance
FCCR Radford VA 23230

FCCR Radford

4906 Radford Avenue, Richmond, VA 23230

FCCR Radford is an outpatient drug and alcohol rehab in Richmond, Virginia part of the Pinnacle Treatment Centers network and focused on medication assisted treatment for opioid use disorder. The facility takes an evidence based whole person approach that blends medication and counseling with case management to support lasting recovery. Opioid Treatment Programs and Wraparound Support Medication assisted treatment uses methadone,…

  • Detox
  • Outpatient
  • Private insurance
New Life For Adults and Youth VA 23224

New Life For Adults and Youth

2501 Turner Road, Richmond, VA 23224

New Life For Adults and Youth is a faith based addiction treatment center in Richmond, Virginia offering long term residential recovery and clinical outpatient care for adults struggling with drug and alcohol addiction. The organization has been serving the community since 197, blending Christian based residential training with evidence based clinical services. Long Term Residential and Intensive Outpatient Gender specific…

  • Inpatient
Richmond Behavioral Health Authority

Richmond Behavioral Health Authority

107 South 5th Street, Richmond, VA 23219

Richmond Behavioral Health Authority (RBHA) is the public behavioral health entity serving the City of Richmond providing substance use and mental health as well as intellectual disability and prevention services. They are committed to accessible community centered care that meets Richmond residents where they are regardless of insurance status or financial means. The organization supports adults and adolescents including families…

  • Inpatient
  • Outpatient
  • Medicaid
Richmond Private Methadone Clinic

Richmond Private Methadone Clinic

4926 West Broad Street, Richmond, VA 23230

Richmond Private Methadone Clinic is a private outpatient opioid treatment program on West Broad Street in Richmond, Virginia operated by Sellati & Co., Inc. The clinic provides methadone maintenance and medically supervised detoxification for adults age 18 and older struggling with opioid addiction. Their approach centers on treatment planning, dignity, and confidentiality with ongoing counseling support designed to help patients…

  • Detox
  • Outpatient
Broad Highway Recovery Interventions VA 23225

Broad Highway Recovery Interventions

5706 Jasonwood Court, Richmond, VA 23225

Broad Highway Recovery Interventions is a rehab located in Richmond, Virginia. Broad Highway Recovery Interventions specializes in the treatment of addiction.

  • Inpatient
  • Outpatient
  • Private insurance
The CARITAS Healing Place for Men VA 23224

The CARITAS Healing Place for Men

700 Dinwiddie Ave, Richmond, VA 23224

The CARITAS Healing Place for Men is a rehab located in Richmond, Virginia. The CARITAS Healing Place for Men specializes in the treatment of addiction.

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
West Grace Health Center VA 23220

West Grace Health Center

517 W Grace St, Richmond, VA 23220

West Grace Health Center is a rehab located in Richmond, Virginia. West Grace Health Center specializes in the treatment of addiction.

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
FCCR Southlake VA 23236

FCCR Southlake

905 C Southlake Blvd, Richmond, VA 23236

FCCR Southlake is a rehab located in Richmond, Virginia. FCCR Southlake specializes in the treatment of addiction.

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing New Life For Adults and Youth The Mercy House

New Life For Adults and Youth The Mercy House

2320 Broad Rock Boulevard, Richmond, VA 23224

New Life For Adults and Youth The Mercy House is a faith-based addiction treatment provider in Richmond, Virginia offering long-term residential recovery for adult women. The program blends inpatient care, aftercare support and sober living within a structured 12 to 18 month model rooted in counseling, mentorship and spiritual growth. The center provides a safe place to heal and rebuild…

  • Inpatient
  • Women
  • Private insurance
Map showing RBHA Mens Residential Treatment Center

RBHA Mens Residential Treatment Center

1700 Front Street, Richmond, VA 23222

RBHA Men's Residential Treatment Center is a men's residential drug and alcohol rehab in Richmond, Virginia operated by Richmond Behavioral Health Authority on its North Campus in the Highland Park neighborhood. The program offers gender specific residential substance use treatment with access to medically monitored withdrawal management on the same campus along with structured step down and aftercare planning. Evening…

  • Detox
  • Outpatient
  • Men
Map showing Rubicon Womens Treatment Community

Rubicon Womens Treatment Community

2825 Rady Street, Richmond, VA 23222

Rubicon Women's Treatment Community is a gender specific residential addiction treatment program in Richmond, Virginia, serving women with substance use disorders and co-occurring mental health conditions. The facility offers medical detox, short term and long term residential care and outpatient services with evidence based therapies. These therapies can include CBT, DBT, motivational interviewing and trauma therapy. As part of Richmond…

  • Detox
  • Inpatient
  • Women
Map showing Groups Recover Together Richmond

Groups Recover Together Richmond

310 Turner Rd Suite D-H, Richmond, VA 23225

Groups Recover Together is in Richmond, Virginia. They provide outpatient opioid substance abuse treatment. It’s a welcoming facility that believes everyone deserves respectful addiction treatment services. They use medication assisted treatment with Suboxone to help decrease drug cravings and make withdrawal more comfortable. You’ll attend group therapy and counseling where you can openly discuss your feelings and addiction issues. You’ll…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing Leesburg Treatment Services

Leesburg Treatment Services

681 Hioaks Rd suite j, Richmond, VA 23225

You'll find Pinnacle Treatment Services of Richmond just outside Chippenham Hospital in Richmond, Virginia. This is a substance abuse treatment program that serves adults. They offer a wide range of primary and secondary treatment options so you can get a truly personalized treatment plan. You can also explore these options to see which ones are a good fit for you…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing CleanSlate Outpatient Addiction Medicine

CleanSlate Outpatient Addiction Medicine

1510 N 28th St Suite 101, Richmond, VA 23223

CleanSlate provides addiction treatment in Richmond, Virginia that specializes in office-based opioid treatment and medication-assisted care. The Richmond center treats opioid use disorder, alcohol use disorder and polysubstance use through FDA-approved medications paired with behavioral healthcare and peer recovery support. CleanSlate's mission is to make recovery accessible in a compassionate, non-judgmental setting that feels more like a primary care office…

  • Outpatient
  • Private insurance
Map showing Avalon Recovery House

Avalon Recovery House

4115 Sprenkle Ln, Richmond, VA 23228

The Avalon Recovery House (ARH) is a transitional sober living home for women that can be located in Richmond, Virginia’s Dumbarton area. This house, often described as more of a home by past and present residents, offers women a safe place in which to implement their recovery plans after graduating from more structured rehabilitation programs. Independence With Safety and Structure…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Find rehabs near Richmond

View more listings near Richmond or search by the letter of cities in Virginia.

Nikki Seay, LPN, BS

Addiction & Mental Health Author

Full bio Full bio

Expert insight

“To say I admire this woman and her passion to help others grasp recovery is a gross understatement.”

All the stories in the news about opioid addiction and the number of fatalities can get depressing, if I’m being honest. But there are people out there who read the stories and they decide to do something about it. Alicia Venable from Richmond, VA is one of those people. She created a nonprofit called Venable Community Services, as she understands personally how hard it is to overcome addiction.

She takes it personally, which is why she hits the streets in Richmond doing outreach with the homeless and with those recently released from jail. She also frequents the streets of public housing to spread the message that there is hope to overcome addiction.

Frequently asked questions

What to know about rehab in Richmond

How We Rank Listings

Every facility listed on Addictions.com undergoes a structured review before it appears in our directory. We verify licensing and accreditation against state health department databases and national accreditation bodies, including the Joint Commission and CARF International. Listings are assessed across the full treatment continuum, from detox and residential care through outpatient services and sober living. We cross-reference each facility against SAMHSA's National Directory of Mental Health Treatment Facilities and state substance use disorder licensure records.

Where available, we include accreditation status, accepted insurance types, and specialty program information so you can compare facilities based on what matters most to your situation. Our directory is updated on a rolling basis as facilities add services, change ownership, or close.

  • State licensure and SAMHSA registration verified
  • Accreditation status noted where confirmed (Joint Commission, CARF, LegitScript)
  • Insurance and payment options listed as reported by each facility
  • Specialty programs and levels of care included as disclosed by the provider
Rehab in Richmond: What to Know

Richmond is Virginia's state capital and an independent city, not part of any surrounding county, at the center of the Richmond-Petersburg metropolitan area. The city sits between Henrico County to the north and east and Chesterfield County to the south and west, with a population of roughly 230,000.

Richmond is the urban hub for most of central Virginia's addiction treatment infrastructure, with 47 rehab facilities operating within city limits. For facilities elsewhere in the state, the Virginia rehab directory covers hundreds of programs across all localities.

The Richmond Behavioral Health Authority (RBHA) is the city's Community Services Board and public behavioral health authority, licensed by the Virginia Department of Behavioral Health and Developmental Services. RBHA provides mental health, intellectual disability, and substance use services to roughly 13,000 Richmond residents each year.

It also serves as the fiscal agent and program coordinator for six surrounding Community Services Boards across central Virginia's Region 4. Residents who are uninsured or underinsured can access treatment through RBHA on a sliding-scale basis. RBHA accepts Virginia Medicaid and Medicare. For broader treatment options, the addiction treatment options guide explains how different program types compare.

The broader Richmond treatment network includes behavioral health and addiction medicine programs through VCU Health and Bon Secours Richmond Health System. The Hunter Holmes McGuire VA Medical Center on Broad Rock Boulevard serves veterans throughout the region with inpatient and outpatient substance use disorder programs, including medication-assisted treatment at no cost to eligible veterans.

Richmond has faced one of the most acute opioid use disorder crises in Virginia. In 2023 the city was listed by the Virginia Department of Health as one of the localities with the highest overdose death rates statewide, between 104.5 and 129.5 per 100,000 residents. The local drug supply has consistently involved fentanyl mixed with cocaine and other substances, a combination VDH identified as the most common cause of fatal overdoses statewide in 2023.

In response, Richmond expanded harm reduction infrastructure, including 24-hour naloxone vending machines installed in public spaces in 2024, and launched a "Spike Alert" early-warning system to notify emergency services when overdose clusters are detected. Virginia's Good Samaritan law protects anyone who calls for emergency help during an overdose, removing one of the most common barriers to seeking assistance.

Richmond is an independent city, not part of any county surrounded by Henrico and Chesterfield counties
RBHA is the city's public behavioral health authority serves approximately 13,000 individuals per year
Virginia Good Samaritan law protects people who call for help during an overdose no drug-related charges for the caller or the person in distress
Fentanyl-adulterated drug supply has driven Richmond's overdose rates city-operated Spike Alert system monitors for cluster events
RBHA accepts Virginia Medicaid and Medicare sliding-scale fees available for uninsured Richmond residents
Cost of Rehab in Richmond

Publicly available cost data specific to Richmond is limited, but treatment costs in the city broadly track Virginia state averages. Virginia ranks 12th nationally for residential treatment cost, placing it among the more affordable options in the mid-Atlantic region for out-of-pocket payers.

For most people with insurance or Medicaid, the figures below are the highest rather than what they will actually pay. Understanding how insurance covers addiction treatment is the most important step before assuming costs are prohibitive.

Actual costs vary based on program type, length of stay, insurance status, and facility characteristics. Most people using insurance or a government benefit pay significantly less, and some pay nothing out of pocket for medically necessary care.

Treatment setting inpatient residential care costs more than outpatient programs
Program length 30-day, 60-day, and 90-day programs are priced differently
Insurance coverage and in-network status in-network programs substantially reduce out-of-pocket costs
Facility accreditation level Joint Commission and CARF-accredited programs may carry higher baseline fees
Medication-assisted treatment inclusion buprenorphine and methadone medications may be billed separately from program fees
How to Pay for Rehab in Richmond

Of the 47 rehab facilities in Richmond, the majority accept multiple payment types. Forty-three accept self-pay or private cash payment, and 36 accept private health insurance. Government programs cover a significant share of treatment costs for qualifying residents, with 19 facilities accepting Virginia Medicaid and 14 accepting Medicare.

Medicare

Fourteen Richmond facilities accept Medicare. Medicare Part A covers inpatient psychiatric and substance use disorder treatment in a hospital or residential setting, subject to deductibles and cost-sharing. Part B covers outpatient substance use counseling and medication-assisted treatment, including buprenorphine prescriptions from certified physicians.

Medicare Advantage plans may offer expanded substance use disorder benefits beyond original Medicare, so confirming what your specific plan covers before enrolling in a program is a worthwhile step.

Medicaid

Nineteen Richmond facilities accept Virginia Medicaid. Virginia expanded Medicaid coverage in January 2019, extending eligibility to adults earning up to 138% of the federal poverty level. Coverage for substance use disorder is provided through the Addiction and Recovery Treatment Services (ARTS) benefit, administered by the Virginia Department of Medical Assistance Services (DMAS) through managed care organizations.

The ARTS benefit covers the full ASAM continuum of care, including medical detox, inpatient and residential treatment, partial hospitalization, intensive outpatient programs, standard outpatient services, office-based addiction treatment, and peer recovery support. DMAS provides dedicated ARTS Care Coordinators to help Medicaid members navigate referrals and treatment access.

Private Insurance and Self-Pay

Thirty-six Richmond facilities accept private health insurance. Major insurers whose plans frequently cover substance use disorder treatment in Virginia include:

  • Anthem HealthKeepers
  • Optima Health
  • Aetna
  • Cigna
  • UnitedHealthcare
  • Molina Healthcare
  • Kaiser Permanente

Coverage levels and in-network facility lists vary by plan. Contacting your insurer directly to confirm which Richmond facilities are in-network before beginning treatment can prevent unexpected out-of-pocket costs.

Military Benefits and TRICARE

Ten Richmond facilities accept TRICARE, the federal health coverage program for active-duty service members, retirees, and their dependents. The Hunter Holmes McGuire VA Medical Center provides comprehensive substance use disorder treatment directly to eligible veterans at no charge, including inpatient detox, residential and outpatient programs, and medication-assisted treatment. For a full overview of benefit options and specialized care, see our guide to rehab resources for veterans and military families.

Sliding Scale and Financial Assistance

Seven Richmond facilities offer sliding-scale fees that adjust costs based on income. Twelve additional facilities offer other forms of financial assistance, including grants, reduced-rate placements, and scholarship funding. RBHA provides sliding-scale services to Richmond city residents who are uninsured or underinsured. Nine Richmond facilities offer financing arrangements for those who need to spread the cost of treatment over time.

Free Treatment Programs

Two Richmond facilities offer free treatment for qualifying individuals. State-funded and nonprofit programs exist for people with no coverage or ability to pay. If cost is the primary barrier to care, rehab scholarships and grants can sometimes cover all or part of treatment costs at participating facilities.

Levels of Care Available in Richmond

Richmond's 47 treatment facilities provide a broad range of care intensities. Twenty-two offer medical detox, 24 offer inpatient or residential programs, and 39 provide outpatient services, giving the city substantial coverage across the treatment continuum. Twenty-four facilities provide dual diagnosis programming for co-occurring mental health and substance use disorders.

Medical Detox

Twenty-two Richmond facilities provide medical detox, the supervised withdrawal process for people with physical dependence on alcohol, opioids, benzodiazepines, or other substances. Medical detox involves 24-hour clinical monitoring and, where appropriate, medication to reduce withdrawal severity and prevent complications like seizures. It is the recommended entry point for people with alcohol or sedative dependence. Detox alone is not addiction treatment; most programs transition directly into a residential or outpatient program afterward.

Inpatient and Residential Treatment

Twenty-four Richmond facilities offer inpatient rehab, which provides structured, round-the-clock care in a residential setting, typically for 28 to 90 days. Inpatient treatment is appropriate for people with a severe or long-standing substance use disorder, those who have not responded to less intensive care, or those who need a stable environment separated from the circumstances associated with their substance use.

Partial Hospitalization Programs

Two Richmond facilities offer partial hospitalization programs (PHP). PHPs deliver intensive clinical services, typically five to six hours per day, five days per week, while clients return home or to sober living each evening. PHPs are commonly used as a step-down from inpatient care or as a high-intensity option for people who need more structure than standard outpatient provides without requiring an overnight stay.

Outpatient Treatment

With 39 outpatient facilities, Richmond has strong coverage for standard outpatient care. Outpatient programs typically meet several hours per week and are best suited to people with a stable home environment, strong social support, and a mild-to-moderate substance use disorder. Many Richmond outpatient programs integrate medication-assisted treatment for opioid and alcohol use disorders alongside individual and group counseling.

Dual Diagnosis Programs

Twenty-four Richmond facilities treat co-occurring mental health and substance use disorders together. Co-occurring conditions such as depression, anxiety, and trauma-related disorders are common among people seeking addiction treatment, and integrated programs address both simultaneously rather than in separate treatment sequences.

Sober Living Homes

Three Richmond facilities provide sober living homes, which offer structured, substance-free housing for people in recovery who are not yet ready to return to their prior living situation. Sober living bridges residential treatment and independent living, and is associated with better long-term recovery outcomes. Most residents continue outpatient treatment or rehab aftercare programs while residing in sober living.

Specialty Programs in Richmond

Many Richmond facilities offer programs tailored to specific populations or substance types. The counts below reflect facilities that formally identify a specialty, not every facility that serves those populations in a general clinical setting.

Free and Low-Cost Rehab Resources in Richmond

Richmond has a range of public and nonprofit resources for people who need addiction support and cannot access or afford private treatment. If you or someone you care about is in immediate crisis, calling or texting 988 connects to the Suicide and Crisis Support Lifeline around the clock, including for substance use emergencies.

Crisis Lines

  • 988 Suicide and Crisis Lifeline — Call or text 988. Free, confidential, 24/7 crisis support for mental health and substance use emergencies. Available in English and Spanish. 988lifeline.org
  • SAMHSA National Helpline — 1-800-662-4357. Free, confidential, 24/7 treatment referral and information service for people with substance use disorders and their families. samhsa.gov
  • RBHA Crisis Line — 804-819-4100. Richmond Behavioral Health Authority provides 24/7/365 crisis intervention, triage, referrals, and mobile outreach for Richmond city residents. Clinicians are available around the clock. rbha.org

City Health Department

  • Richmond City Health District — 400 E. Cary St., Richmond. Call 804-845-6000. Provides free naloxone kits through walk-in distribution (Mondays, 8-10 a.m.) and the REVIVE! rapid naloxone training program, a free seven-minute online course that results in free naloxone nasal spray with no registration required. vdh.virginia.gov/richmond-city

Harm Reduction

    • Health Brigade — Richmond. Offers a needle exchange program, free naloxone kits, HIV and hepatitis C testing, PrEP, and wound care. Referrals to substance use treatment are available for interested clients. Services are free and confidential. healthbrigade.org

Veterans and Military

  • Hunter Holmes McGuire VA Medical Center — 1201 Broad Rock Blvd., Richmond, VA 23249. Call 804-675-5000. Offers inpatient and outpatient substance use disorder treatment, medication-assisted treatment, and PTSD clinical services to eligible veterans at no charge. va.gov/richmond-health-care

General Referrals and Public Behavioral Health

  • Virginia 211 — Dial 211 from any Virginia phone or text your zip code to 898-211. Connects callers to local social services including addiction treatment, mental health programs, housing assistance, and food resources. 211virginia.org
  • Richmond Behavioral Health Authority (RBHA) — 107 S. 5th St., Richmond. General information line: 804-819-4000 (Monday through Friday, 8 a.m. to 5 p.m.). Substance use services provided on a sliding-scale basis to Richmond city residents. Accepts Virginia Medicaid and Medicare. rbha.org
Drug and Alcohol Use Statistics in Richmond

Richmond has been among Virginia's hardest-hit localities during the fentanyl crisis. In 2023 the city reported close to 300 drug overdose deaths, its highest recorded total, and was identified by the Virginia Department of Health as one of the localities with the highest overdose death rates in the state.

The most common lethal drug combination in Richmond's drug supply that year was fentanyl mixed with cocaine, mirroring a pattern documented across the broader region. Since 2023, statewide numbers have dropped substantially. Virginia recorded a 37% decrease in total drug overdose deaths in 2024, the second-largest year-over-year decline of any state nationally. Local providers, however, have noted that service demand in Richmond remains high and the underlying conditions driving substance use have not been fully resolved.

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 bio

Author

Nikki Seay, LPN, BS

Nikki brings more than 10 years' experience in content and healthcare. She holds a Licensed Practical Nursing degree and a B.S. in Marketing. In recovery since 2010, Nikki understands addiction from both a personal and a clinical point of view,…

Read bio
Sources Sources (7)
  1. Virginia Department of Health. (2025). Drug Overdose and Substance Use: Drug Overdose Data.
  2. Virginia Department of Health, Office of the Chief Medical Examiner. (2025). Fentanyl-Related Deaths in Virginia, 2024 Preliminary Data.
  3. Virginia Department of Health. (2024). Fatal Drug Overdose Quarterly Report, Q2 2024: Localities with Highest Overdose Death Rates.
  4. Virginia Department of Medical Assistance Services (DMAS). (2024). Addiction and Recovery Treatment Services (ARTS).
  5. Richmond Behavioral Health Authority (RBHA). (2025). Crisis Response Services.
  6. RVA Magazine. (2025). Overdose Deaths Fall in Virginia, but Richmond Providers Warn of Strain.
  7. Addictions.com. (2025). Drug and Alcohol Rehabs in Virginia: Cost and Facility Data.

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