Top 15 Alcohol & Drug Rehab Centers in Roanoke, VA & Free Treatment Resources

 Roanoke Virginia Drug Alcohol Rehab
Like much of Appalachia, Roanoke has become a center for substance use. Business owners along Franklin Road have become frustrated with the prevalence of needles, trespassing, and vandalism on their properties.1 In the first six months of 2022, the Harm Reduction Coalition served more than 1,000 residents with free naloxone, and residents reported back that 981 overdose reversals were made possible by this drug.3 Alcohol and drug rehab in Roanoke is an invaluable resource for those looking to find recovery. Compare the nearly 30 treatment facilities in Roanoke to find a program that accepts your insurance or offers financing plans.

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

Substance Abuse Statistics in Roanoke, VA

The following statistics for Roanoke, VA and its surrounding Roanoke County demonstrate the challenges of alcohol and drug abuse faced by residents in this area:4,5,6,7,8,9

Local Information for Roanoke: Getting There and Getting Around

Nestled among the Blue Ridge Mountains of southwest Virginia, Roanoke is known as the “Star City of the South.” The nickname stems from its landmark Roanoke Star, a neon star perched above the city on the summit of Mill Mountain. But this bright spot isn’t all the city of Roanoke, VA is known for.

Roanoke features a vibrant downtown, and the scenic Roanoke River runs through the city. Nearby are the Appalachian Trail, the Blue Ridge Parkway, and wine vineyards.

As the largest metro area in western Virginia, Roanoke is the regional center for transportation-related manufacturing. It has also become a hub for retail business and healthcare services for the region.

If you will be traveling to Roanoke for substance use treatment or visiting someone in treatment, use the following tips to guide your travel plans.

    roanoke virginia

  • The closest airport is Roanoke-Blacksburg Regional Airport, which offers connections to national and international destinations.
  • The Valley Metro serves the area with bus transportation options.
  • Roanoke offers many lodging options, including modern hotels, motels, and charming bed and breakfasts.
  • Roanoke is known as one of the best cities in the U.S. for outdoor adventures.
  • Popular activities in Roanoke include hiking, mountain biking, paddling, and cycling.
  • Roanoke offers art and culture experiences with many museums, galleries, and boutiques.
  • Top sightseeing destinations in Roanoke include the Blue Ridge Parkway, the Appalachian Trail, the Virginia Transportation Museum, and the Historic City Market.
  • Day-trip ideas from Roanoke include the Blue Ridge Mountains, Salem, VA, Charlotte, NC, and Shenandoah Valley, VA.
  • The crime rate in Roanoke is 36.67 per 1,000 residents per year.
  • Locals consider the northwest part of the city to be the safest area in Roanoke.


  1. Capodanno, K. (2021, May 19). Roanoke business owners frustrated with drug use, vandalism. WDBJ.
  2. Jadhon, J. (2022, March 31). Fralin Biomedical Research Institute receives $3.5 million grant to study alcoholism recovery. WDBJ.
  3. Scachetti, L. (2022, August 31). Virginia’s Harm Reduction Coalition reports hundreds of overdose reversals. NBC 29.
  4. (2020, December 11). WFXRtv. WFXRtv.
  5. Jewell, J. (2021, April 21). Drug overdoses surge in Roanoke amid COVID-19 pandemic. WSLS 10.
  6. 540-981-3319, A. P. [email protected]. (2021, August 1). As overdose deaths reach record levels in Virginia, meth is seen as a growing threat. Roanoke Times.
  7. Carilion Clinic. (2021). Roanoke Valley community health assessment – Final report. Issuu.
  8. Virginia Department of Health. (2019, August 15). Overdose deaths. Opioid Data.
  9. Substance Abuse and Mental Health Services Administration. (2016). Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National Survey on Drug Use and Health.

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