San Antonio is home to roughly 1.5 million residents and is a city with rich colonial roots. However, as the second-largest city in Texas and a location situated close to the US-Mexican border, San Antonio also has the largest and most populous drug market in the state. This has led to significant spikes in methamphetamine, opioid, and prescription drug abuse in recent years.

However, working on with these problems are an abundant selection of alcohol and drug addiction treatment centers that specialize in detox, outpatient rehabilitation, intensive residential treatment, and medication-assisted treatments. Funded largely by Texas Health Services, the City of San Antonio, and the federal Substance Abuse and Mental Health Services Administration (SAMHSA), the city is fortunate to provide much-needed substance abuse recovery service to people from all backgrounds and walks of life.

Best Rehab Centers in San Antonio

New Choices Treatment Centers

Treatment Type:
Intensive Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults
Payment Accepted:
Private Health Insurance, Private Payment

New Choices is an alcohol and substance abuse recovery center that uses a combination of evidence-based practices and innovative experiential treatment modalities. Their year-long multi-disciplinary Camino Pathways approach empowers clients by concentrating on their inner strength and abilities rather than on pathologies or problems. Their treatment plans are individualized and address the holistic components of mind, body, and spirit for long-term recovery.

The top-end facilities at New Choices are also designed to inspire relaxation and healing. Clients share an apartment with one other guest of the same gender and the living space opens onto a shared courtyard with other residents. Clients receive dietician-designed meals in the gourmet kitchen, and they share access to the Recreation Room (for games and TV), the Group Room (for art and culture), or the Mindfulness Studio (for yoga and meditation).

This center is ideal for those looking for spacious luxury accommodation with a holistic approach to addiction treatment.

Center for Health Maintenance

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

The Center for Health Maintenance provides comprehensive and affordable treatment for opioid addiction and employs a holistic approach to addiction that addresses general well-being, relationships, employment, and recreation.

Their team consists of doctors, nurses, and counselors and they specialize in medication-assisted treatment, medical exams, and counseling therapy to create customized recovery plans. The medical staff also help patients with pain management and illness prevention, while providing guidance about how to care for their body throughout treatment.

The Center for Health is known for their caring staff and excellent service, making them an ideal option for those seeking high-quality support during opioid addiction treatment.

A Turning Point Counseling and Rehab Center

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

A Turning Point is a private alcohol and substance abuse treatment center that provides affordable and comprehensive counseling services. Led by Ron Deage, a licensed counselor and clinical hypnotherapist, the outpatient treatment program addresses coping skills, individual triggers, underlying emotional/situational causes of addiction, and relapse prevention techniques, while helping clients develop ways to manage their emotions.

Their intensive 8-week program incorporates the 12-step principles and includes small weekly peer groups, multifamily groups, one-on-one counseling, and regular family groups. A Turning Point also offers drug testing and continuing aftercare. This center is a good choice for those looking for comprehensive counseling services that address the root cause of addiction.

Positive Recovery Centers

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

Positive Recovery is an evidence-based addiction facility that offers online treatment and intensive outpatient services. Founded in the 1990s, Positive Recovery bases its mission around empathy and compassion, while cultivating positive emotions, relationships, engagement, and achievement as part of their key components.

Their intensive outpatient services are unique because each treatment is individually customized and based on the renowned ‘Positive Recovery’ strength-based approach developed by Dr. Jason Powers. This focus on strength and learning how to flourish during recovery forms the basis of the center’s mission to help individuals thrive in all areas of life.

The San Antonio branch is led by Steven Murphy, a Licensed Chemical Dependency Counselor and Advanced Alcohol and Drug Counselor with 40 years of experience. This center is a good option for those looking for online services and an approach to recovery that focuses on individual strength and the formation of positive habits.

San Antonio Recovery Center

Treatment Type:
Intensive Outpatient, Inpatient, Detox
Specialization:
Substance Abuse, Alcohol Abuse, Dual Diagnosis, Cocaine, Opioids, Methamphetamines, Oxycodone
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

The San Antonio Recovery Center is a licensed alcohol and substance abuse recovery center that provides a full spectrum of treatment, rather than just focusing on one area. Their approach combines diagnosis, advanced treatment modalities, and holistic therapies that emphasize the whole of a person’s medical, emotional, physical, and spiritual needs.

Founded in 2010, the center consists of a clinical team (many of whom are in recovery themselves), and their unique programs include residential treatment, medically assisted detox, 90-day treatment programs, 12-step recovery, men- or women-only programs, and aftercare. They also have an in-house support dog named Lacy that works in their animal-assisted recovery programs.

This is an excellent center for anyone seeking comprehensive and holistic approaches to addiction treatment based strongly around the 12-step philosophy.

Alpha Home

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

Alpha Home is an alcohol and substance abuse treatment center that has been operating for 54 years. Emphasizing the whole person as part of their treatment, Alpha Home includes spirituality, compassion, integrity, and respect as key components in their approach to long-term recovery. Their inpatient residential services for women 18+ provides an evidence-based and gender-specific curriculum. Women have access to individual and group counseling, educational groups, behavior modification activities, and case management to provide referrals and community resources.

Alpha Home’s outpatient programs are individualized and also gender-specific, but they offer programs for both men and women. Services include anger management, individual and group counseling, 12-step support, addiction and recovery education, and trauma-related counseling. Their outpatient program allows the client to enter or leave with little restriction, with average stays being four to six months.

This center is an ideal choice for those looking for gender-specific treatment with a focus on long-term care. Other gender-specific programs include San Antonio Recovery Center and Adult and Teen Challenge of Texas, which has a more faith-based approach.

Serenity Oaks Center

Treatment Type:
Outpatient, Suboxone Clinic
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

Serenity Oaks is an opioid addiction treatment center specializing in medication-assisted treatment (MAT) using buprenorphine/naloxone (Suboxone). Led by Dr. Claire Coco, a board-certified family medicine physician, the center provides monthly doctor access that allows progress review and treatment assessment, counseling and education services, regular drug monitoring and accountability programs, as well as support and referrals where needed.

This clinic is an excellent choice for those looking for a structured medically assisted opioid addiction treatment that provides careful monitoring and aftercare.

Northwest San Antonio Treatment Center

Northwest San Antonio Treatment Center

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment, Medicaid

The Northwest San Antonio Treatment Center is part of New Season, a group of opioid addiction treatment centers accredited by agencies such as Substance Abuse Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT), and the Commission on the Accreditation of Rehabilitation Facilities (CARF).

The Northwest San Antonio branch provides medication-assisted treatment (MAT) that includes methadone, buprenorphine or Suboxone, counseling services, medically supervised detox, medical exams, and referrals where necessary. Led by a team of doctors, nurses, and counselors, the center delivers these comprehensive opioid addiction treatments all under one fee, making it a great option for affordable all-inclusive service.

Crossroads Treatment Centers

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Crossroads Treatment Center is an opioid addiction facility that specializes in a 3-pronged approach, combining medication-assisted treatment, counseling, and drug screening. Hailed as the gold standard for opioid treatment by the Centers for Disease Control and National Institute of Health, this 3-pronged approach is delivered by a family of doctors, nurse practitioners, and drug counselors to help individuals start their road to recovery.

Established in 2005, Crossroads Treatment Center is an excellent go-to place for high-quality medication-assisted treatment for opioid addiction. Their other services include medical assessments of a client’s addiction, health status and treatment requirements, clinical evaluations, individualized treatment, counseling services, medical care by an on-site physician, and referrals to local agencies and professionals.

Adult and Teen Challenge of Texas

Treatment Type:
Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults
Payment Accepted:
Private Payment

Adult & Teen Challenge is a non-profit alcohol and substance abuse recovery and discipleship program. Offering women-only, men-only, and gender-specific teen programs, this center utilizes non-medical recovery methods that include biblical principles, moral guidance, and counseling.

Their primary directive is to address every aspect of life for those in recovery and to guide them towards physical, mental, emotional, social, and spiritual wellness. They also commit to working with clients for a full year to aid long-term recovery.

Founded in 1958, Pastor David Wilkerson started the center following his experience of ministering drug addicts and gang members in New York. With close to 200 centers operating throughout the U.S., Adult & Teen Challenge has a high rate of long-term recovery and is an affordable addiction treatment center that is ideal for those looking for a spiritually guided and faith-based program.

Onto Treatment

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse, Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

The ONTO Treatment Center is an alcohol, opioid, and substance abuse recovery center that focuses on comprehensive and affordable evidence-based treatment. Treatment plans are individualized and tailored, and clients have access to medical, psychology, and therapy staff in an outpatient capacity. Their primary philosophy is that treatment should be treated on a continuum, addressing not only the addiction itself, but also the root causes. ONTO offers services for medical detoxing, counseling, aftercare, and family therapy to work with individuals and their loved ones to rebuild relationships and heal.

This center is a good option for those who have multiple addictions and are seeking a scientific approach to treatment.

MedMark Treatment Centers San Antonio

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

MedMark is a group of addiction treatment centers that has been treating opioid addiction since 2006. Their methadone clinic in San Antonio specializes in medication-assisted treatment and provides evidence-based treatment certified by CARF (Commission on the Accreditation of Rehabilitation Facilities). Their facility is ideal for individuals who need help with Vicodin, OxyContin, or other opioid addictions.

Their other outpatient services include individual therapy, case management psychosocial services, and community referrals where needed.

SOBA Texas

Treatment Type:
Outpatient, Inpatient, Detox
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

SOBA is an addiction rehabilitation center that offers custom-designed treatments involving psychotherapy and social interaction. Providing a full continuum of care, SOBA’s programs focus on long-term recovery using intensive individual therapy, stress management, family therapy, relationship coaching, conflict resolution, work and career issues, anxiety and depression therapy, psychodynamic group therapy, and other therapies for LGBT issues or cognitive behavioral and EMDR/trauma therapy.

Accredited by the Joint Commission Accredited facilities, SOBA provides innovative and individualized detox treatment in tandem with psychological and behavioral assessments. Their inpatient and detox facilities are situated on a 10-acre ranch and provide modern living spaces and shared outdoor areas for sports, BBQs, fitness, as well as a Zen meditation garden.

STOP SA

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

STOP SA is an outpatient substance abuse treatment program that specializes in medication-assisted treatment using both methadone and Suboxone (buprenorphine). Their services include medical history and physical examinations, lab work, drug screening, counseling, and case management. They also offer additional assistance for families and follow-up appointments.

The clinic is licensed by the state of Texas (DSHS) and the federal government (SAMHSA), and accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). This clinic is well-suited to those who are looking primarily for medication-assisted treatment. For a comparable opioid treatment clinic, Northwest San Antonio Treatment Center offers similar, but less expensive services.

Lifetime Recovery

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Lifetime Recovery is an alcohol and substance abuse recovery facility that has been operating since 1963. Founded on the 12-step principles, this center treats chemical dependency through a highly structured holistic approach that addresses mind, body, and spirit. Lifetime Recovery also provides evidence-based intensive treatments such as cognitive behavioral therapy, supportive treatment (which focuses on day-to-day life in recovery), and motivational enhancement therapy, which is a client-centered approach to help guide clients towards self-reliance and long-term recovery.

Lifetime Recovery’s inpatient residential center is located on a rural 18.5-acre campus, providing a serene environment for treatment and recovery, and their outpatient services are designed to be non-restrictive so that clients can continue with their daily lives.

River City Rehabilitation Center

Treatment Type:
Outpatient
Specialization:
Alcohol Abuse, Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults (18+)
Payment Accepted:
Private Payment

River City Rehabilitation Center is an outpatient substance abuse treatment facility that utilizes two medication-assisted treatments: methadone for opioid addiction, and Antabuse (Disulfiram) for alcoholism. Regulated methadone treatment is practiced at the clinic to help individuals wean off heroin or other prescription opioids by reducing cravings, assisting with withdrawal, blocking the effects of other opioids, and assisting the client in raising their quality of life.

Anatabuse is used as a treatment for chronic alcoholism as it produces an acute sensitivity to alcohol. Both drug treatments are medically supervised, and their on-site team consists of physicians, nurses, pharmacists, and licensed professional counselors.

Ripple Ranch at Austin

Treatment Type:
Outpatient, Inpatient, Dual Diagnosis
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

Ripple Ranch Recovery Center is a nature retreat and alcohol and substance abuse recovery facility that provides evidence-based treatment with an underlying holistic approach. Patients are given the option of a 12-step or non-12-step program for 30 to 90-day programs and these are combined with other therapies to treat all aspects of a person’s physical, mental, emotional, and spiritual needs.

Ripple Ranch provides a low staff-to-patient ratio with a comprehensive focus on self-care; they also provide dual diagnosis for those with co-occurring mental disorders. Their detox center provides 24-hour medical support on-site in tandem with counseling services that address trauma, everyday stress, and mood stabilization.

Their inpatient services are located on a private residential estate in Texas hill country, with facilities like a swimming pool, workout room, communal kitchen with an on-site chef, and opportunities to take yoga, Tai Chi, and meditation classes. They are also accredited by the Joint Commission.

La Hacienda Treatment Center

Treatment Type:
Inpatient, Detox
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults (18-24)
Payment Accepted:
Private Health Insurance, Private Payment

La Hacienda is situated on a 40-acre campus and provides 24/7 care for individuals with alcohol or drug addiction. With 40 years of experience, the center is staffed with resident physicians, medical staff, and psychiatrists, as well as licensed abuse counselors and caseworkers. Utilizing evidence-based treatment, La Hacienda provides individualized treatment plans that includes medical, clinical, physical, and spiritual elements, one-on-one time with counselors, and treatment for co-occurring mental health conditions.

While the center is located outside of San Antonio, their unique programs are worth the travel as they include relapse programs, family programs, aftercare, continuing care plans, nutrition/diet plans, and recreational activities such as fitness, swimming, walking trails and a ropes course.

La Hacienda is also accredited by the Joint Commission, licensed by the State of Texas, and selected by Aetna Insurance as an Institute of Quality®. The facility also subscribes to the NAATP Code of Ethics.

The Center For Health Care Services

Treatment Type:
Outpatient, Detox
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

The Center for Health Care Services is an affordable outpatient alcohol and substance abuse treatment center that has been operating for 50 years. Their services include long-term integrated physical and mental health support, a ‘mommies program’ for women and families, residential detox, opioid addiction, a specialized female intensive residential treatment program, as well as programs specific for co-occurring mental health conditions.

This center suits individuals looking for core programs designed specifically for mental health and women’s issues. They also provide Spanish-speaking services.

Community Medical Services – San Antonio

Treatment Type:
Outpatient
Specialization:
Opioids
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

Community Medical Services is an outpatient substance abuse recovery program that focuses on opioid addiction and medication-assisted treatments such as methadone, buprenorphine (Suboxone/Subutex/Sublocade), and naltrexone (Vivitrol).

They also provide group and one-on-one counseling, individualized treatment plans, and community-based services as part of their medication-assisted treatment. Drawing from evidence-based practices, the counselors at Community Medical guide patients towards improved problem-solving skills and healthy coping strategies that are specific to their individual needs.