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Texas Drug & Alcohol Rehab and Detox Centers

  • 401 listed centers
  • 141 cities covered
  • 2026 Texas Drug & Alcohol Rehab Directory

401 licensed, federally listed drug and alcohol treatment programs across 141 Texas cities — 110 with medical detox, 88 with inpatient or residential rehab, and 363 offering outpatient care.

Popular Texas cities

Addiction Treatment Center Capacity in Texas

Federal data set
Treatment centers
401

Federally listed

Cities covered
141

across Texas

Medical detox
110

withdrawal management

Inpatient / residential
88

24-hour care

Outpatient programs
363

incl. IOP

Dual diagnosis
271

co-occurring care

Live CDC4,478 drug overdose deaths in Texas for the 12 months ending April 2026, 4.5% lower than a year earlier. See national and state trends.

How people pay in Texas

Of the 401 Texas centers listed, 321 report accepting private health insurance, 182 offer a sliding fee scale, 174 offer payment assistance, and 5 report no charge to the client — as reported to the federal treatment services survey (September 2026). Payment types only; call the center to confirm whether your coverage applies.

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FilterShowing all 401 centers
From our researchSee the full numbers ↓

28.3%

of centers offer detox
U.S. 19.6%

13.89

residential beds per 100k
U.S. 27.0

From our research

Detox Access and Residential Capacity in Texas

Detox access

113 of 399 federally listed centers in Texas (28.3%) report offering medically managed withdrawal, above the national share of 19.6% and 6th of 52 states and territories. The median distance from a community with listed treatment to the nearest detox program is 2.9 miles (closer than the 7.9-mile national median). 15 of 140 measured communities are more than 50 miles from the nearest one.

Read the Detox Access Gap report →

Residential capacity

Texas reports 13.89 residential beds per 100,000 residents (4,347 beds at 88 programs) — fewer than the national rate of about 27.0, ranking 46th of 50. Reported occupancy was 66.1%, 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 Texas

If you or someone you love is struggling with drug or alcohol addiction, treatment is available in Texas. This directory lists 401 licensed, federally listed treatment programs across 141 Texas 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 Texas spans the full continuum. Of the programs listed here, 110 provide medically supervised detox, 88 offer inpatient or residential rehab, 363 run standard outpatient programs, and 211 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. 271 Texas 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 Texas facilities also tailor programming to specific groups. The most commonly reported specialties in the state are co-occurring disorders / dual diagnosis (251 programs), women (241 programs), and men (224 programs). 159 programs report offering services in Spanish.

Cost is the most common reason people delay treatment. Of the 401 Texas programs listed here, 321 report accepting private health insurance, 377 accept cash or self-payment, 182 offer a sliding fee scale based on income, and 174 report some form of payment assistance. 5 report providing services at no charge to the client. 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 Texas

How many treatment centers are there in Texas?

This directory lists 401 licensed treatment programs in Texas, drawn from the federal treatment services record (September 2026). Of those, 110 provide medical detox, 125 offer inpatient rehab or residential treatment and 363 run outpatient treatment.

What is the difference between detox and rehab in Texas?

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 Texas, 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 Texas, 321 of the 401 listed centers report accepting private health insurance and 182 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 Texas programs report providing it.

Find Texas treatment centers by city

All 141 Texas cities with a listed rehab or detox center.

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