481 Lower Airport Road, Lewistown, MT 59457
12-Step Facilitation
- Outpatient Program
- Telehealth
Montana directory
Montana Drug & Alcohol Rehab and Detox Centers
- 68 listed centers
- 31 cities covered
- 2026 Montana Drug & Alcohol Rehab Directory
68 licensed, federally listed drug and alcohol treatment programs across 31 Montana cities — 7 with medical detox, 13 with inpatient or residential rehab, and 63 offering outpatient care.
Federally listed facilities in Montana
Addiction Treatment Center Capacity in Montana
Federal data set- Treatment centers
- 68
- Cities covered
- 31
- Medical detox
- 7
Federally listed
across Montana
withdrawal management
- Inpatient / residential
- 13
- Outpatient programs
- 63
- Dual diagnosis
- 53
24-hour care
incl. IOP
co-occurring care
Live CDC172 drug overdose deaths in Montana for the 12 months ending April 2026, 1.2% higher than a year earlier. See national and state trends.
How people pay in Montana
Of the 68 Montana centers listed, 64 report accepting private health insurance, 45 offer a sliding fee scale, and 18 offer payment assistance — as reported to the federal treatment services survey (September 2026). Payment types only; call the center to confirm whether your coverage applies.
Montana treatment center map
64 listings mapped
Directory
Find Montana Drug & Alcohol Rehab Centers
Compare addresses, phone numbers, levels of care, and reported payment options — then call the center directly.
FilterShowing all 68 centers
From our researchSee the full numbers ↓
8.2%
of centers offer detox
U.S. 19.6%
20.22
residential beds per 100k
U.S. 27.0
120 South Main Street, Livingston, MT 59047
Anger Management
- Outpatient Program
- Telehealth
5237 Highway 89 South, Suite 1, Livingston, MT 59047
12-Step Facilitation
- Outpatient Program
- Telehealth
46 South 1st Street East, Suite 14, Malta, MT 59538
12-Step Facilitation
- Outpatient Program
- Telehealth
2508 Wilson Street, Miles City, MT 59301
Anger Management
- Outpatient Program
- Telehealth
2900 Mallet Lane, Miles City, MT 59301
12-Step Facilitation
- Outpatient Program
- Telehealth
2415 South Catlin Street, Missoula, MT 59801
12-Step Facilitation
- Outpatient Program
- Medication-assisted Treatment (MAT)
- Opioid Treatment Program (OTP)
1515 Fairview Avenue, Suite 209, Missoula, MT 59801
12-Step Facilitation
- Outpatient Program
- Telehealth
202 Brooks Street, Suite 300, Missoula, MT 59801
Brief Intervention
- Intensive Outpatient (IOP)
- Outpatient Program
- Telehealth
3000 Palmer, Suite. B, Missoula, MT 59808
Anger Management
- Outpatient Program
- Telehealth
619 SW Higgins, Suite E, Missoula, MT 59803
12-Step Facilitation
- Outpatient Program
- Telehealth
775 West Gold Street, Missoula, MT 59803
12-Step Facilitation
- Outpatient Program
- Telehealth
100 West Laurel Street, Plentywood, MT 59254
Anger Management
- Outpatient Program
- Telehealth
222 Main Street, Suite E, Shelby, MT 59474
12-Step Facilitation
- Outpatient Program
- Telehealth
1201 West Holly Street, Suite 4, Sidney, MT 59270
Anger Management
- Outpatient Program
- Telehealth
623 North Central Avenue, Sidney, MT 59270
12-Step Facilitation
- Outpatient Program
- Telehealth
216 East Main Street, Suite 2, Sidney, MT 59270
Brief Intervention
- Outpatient Program
- Telehealth
304 4th Avenue East, Superior, MT 59872
12-Step Facilitation
- Intensive Outpatient (IOP)
- Outpatient Program
- Telehealth
124 Custer Street, Building Public Service, Wolf Point, MT 59201
Anger Management
- Outpatient Program
- Telehealth
112 Main Street, Wolf Point, MT 59201
12-Step Facilitation
- Outpatient Program
- Telehealth
From our research
Detox Access and Residential Capacity in Montana
Detox access
6 of 73 federally listed centers in Montana (8.2%) report offering medically managed withdrawal, below the national share of 19.6% and 50th of 52 states and territories. The median distance from a community with listed treatment to the nearest detox program is 75.6 miles (farther than the 7.9-mile national median). 20 of 31 measured communities are more than 50 miles from the nearest one.
Read the Detox Access Gap report →Residential capacity
Montana reports 20.22 residential beds per 100,000 residents (230 beds at 9 programs) — fewer than the national rate of about 27.0, ranking 36th of 50. Reported occupancy was 71.3%, leaving more open space than most states (national average: 85.1%).
Read the Residential Capacity report →Source: Treatment Locators analysis of federal facility directory and survey data. Figures describe the system as a whole, not any one center — call a center to confirm current services and openings.
State overview
Drug & Alcohol Detox and Rehab in Montana
If you or someone you love is struggling with drug or alcohol addiction, treatment is available in Montana. This directory lists 68 licensed, federally listed treatment programs across 31 Montana cities. Some of these programs focus on alcohol withdrawal, others on opioids, stimulants, or benzodiazepines, and many treat all of them alongside co-occurring mental health conditions.
Care in Montana spans the full continuum. Of the programs listed here, 7 provide medically supervised detox, 13 offer inpatient or residential rehab, 63 run standard outpatient programs, and 18 run intensive outpatient (IOP) programs. Detox is usually the first step: it stabilizes the body during withdrawal, but it is not a substitute for treatment. Most people move from detox into residential rehab or an outpatient program, where therapy, medication for addiction treatment, and relapse-prevention planning do the longer-term work.
Substance use and mental health problems frequently travel together. 53 Montana programs in this directory report treating co-occurring disorders such as depression, anxiety, PTSD, or bipolar disorder alongside addiction. Treating both at the same time — rather than one after the other — is the standard recommended by SAMHSA and is a reasonable question to ask any program before admission.
Many Montana facilities also tailor programming to specific groups. The most commonly reported specialties in the state are adolescents (52 programs), adults (49 programs), and seniors / older adults (47 programs). 1 programs report offering services in Spanish.
Cost is the most common reason people delay treatment. Of the 68 Montana programs listed here, 64 report accepting private health insurance, 67 accept cash or self-payment, 45 offer a sliding fee scale based on income, and 18 report some form of payment assistance. These figures come from what each facility reported to the federal treatment services survey (September 2026), which records payment types rather than named insurance carriers. Costs and accepted plans are set by each program and change often, so call the facility directly to confirm what it charges and whether your coverage applies.
Learn more: what medical detox involves, levels of addiction care, and withdrawal symptoms and timelines.
Common questions about treatment in Montana
How many treatment centers are there in Montana?
This directory lists 68 licensed treatment programs in Montana, drawn from the federal treatment services record (September 2026). Of those, 7 provide medical detox, 14 offer inpatient rehab or residential treatment and 63 run outpatient treatment.
What is the difference between detox and rehab in Montana?
Detox manages withdrawal safely and usually lasts a few days to a week; rehab is the treatment that follows, where therapy and medication address the substance use itself. Most people move from detox into inpatient rehab or an outpatient program, and the levels of care guide explains how each step works.
How much does treatment cost in Montana, and does insurance cover it?
Cost depends on the level of care and how long you stay, and federal parity law requires most plans to cover addiction treatment on the same terms as other medical care. In Montana, 64 of the 68 listed centers report accepting private health insurance and 45 report a sliding fee scale based on income. The federal record lists payment types rather than named carriers, so call the center to confirm your insurance coverage.
How long does addiction treatment last?
Medical detox typically runs three to seven days, residential treatment commonly runs 30 to 90 days, and outpatient treatment can continue for several months. Research summarized by the National Institute on Drug Abuse finds that staying in treatment for at least 90 days across all settings is associated with better outcomes.
What happens with withdrawal symptoms?
Withdrawal symptoms depend on the substance, how much was used, and for how long, and alcohol and benzodiazepine withdrawal can be medically dangerous without supervision. Our withdrawal timeline page sets out what typically happens day by day, and anyone with a history of seizures or heavy daily drinking should speak to a clinician before stopping.
Can treatment address mental health conditions too?
Yes — programs that treat co-occurring disorders address substance use and conditions such as depression, anxiety or PTSD at the same time, which SAMHSA identifies as the recommended approach. You can filter this directory for dual diagnosis treatment to see which Montana programs report providing it.
Find Montana treatment centers by city
All 31 Montana cities with a listed rehab or detox center.
Treatment guides
Understand your options before you call a treatment center.
- How medical detox worksWhat supervised withdrawal looks like and when it is needed.
- Inpatient rehab explainedLength of stay, daily structure and who benefits most.
- Outpatient and IOP programsPHP, intensive outpatient and standard outpatient compared.
- Levels of care comparedMatch the level of care to the severity of the need.
- Withdrawal symptoms and timelinesWhat to expect day by day for each substance.
- Support for families and loved onesHow to help someone who is still deciding on treatment.