2025’s Top Rehab Centers in Spokane (from $0), Drug & Alcohol Support Resources

Spokane, Washington

How to Choose Treatment in Spokane

When searching for the best facility for your needs in Spokane, you’ll find a full range of substance use disorder treatment, including care for co-occurring mental health conditions. Programs often include counseling, family therapy, peer support, and connections to housing and employment resources. A local opioid treatment program provides daily dosing and counseling services. Adolescent residential programs are limited, detox beds may fill up quickly, and there is a shortage of recovery housing. Most private insurance plans are accepted and Washington’s Medicaid (Apple Health) covers many treatments at little to no cost. If you do not have insurance, you may qualify for state or federally funded support. People who are pregnant, parents, and people who use substances intravenously may receive priority admissions. If detox centers are full or you’re looking for the best adolescent inpatient care, you may seek out bridge care in the meantime. For dedicated LGBTQIA+, speciality, luxury, or pet-friendly options, you may need to look outside of Spokane.  

Can I start detox in Spokane today?

Yes — help can start today. Call a 24/7 service to begin medication for withdrawal and stabilization. Call first to confirm space:

• Spokane Treatment & Recovery Services (STARS): 509-570-7250

• Spokane Regional Stabilization Center: 509-503-6010

When you call, ask about language services and Spokane Transit access as needed. If they’re full, ask for bridge care (telehealth, interim medications, groups) to stay safe while you wait.

Do I need to travel for rehab, or is care available in Spokane?

You usually don’t have to travel. Spokane offers detox, residential, outpatient, medications for addiction treatment (MAT), counseling, and telehealth. If detox beds are full, or if you are looking for adolescent residential care or recovery housing, you may need to look for options in the surrounding area. You may also need to look outside of Spokane for seniors-only, luxury, pet-friendly, or LGBTQIA+-specific programs. 

Paying for Addiction Treatment in Spokane

How much does rehab cost in Spokane?

Rehab prices can look overwhelming, but most people pay far less once insurance or financial aid is applied. Before you start treatment, ask for a written estimate, whether the program is in-network for your plan (and if prior authorization is required), and ask about sliding-scale fees or financial help. Learn more about the cost of rehab. 

Typical Costs (publicly funded or community-based programs; not luxury):

• A little over three months of residential care in Spokane usually costs about $23,530 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,700 total — or about $1,450 per month.

• A three-month intensive outpatient program in Spokane usually costs about $10,190 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $2,040 total — or about $680 per month.

• A four-to-five-month non-methadone outpatient program in Spokane usually costs about $5,780 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $1,160 total — or about $260 per month.

• About two years of methadone maintenance in Spokane usually costs about $20,760 if you pay out of pocket. With insurance that covers 80%, you’d pay closer to $4,150 total — or about $190 per month.

What private insurers provide in-network coverage in Spokane?

Many major plans include in-network options, commonly Premera Blue Cross, Regence BlueShield, Aetna, Cigna, UnitedHealthcare, and Kaiser Permanente. Always confirm network status, prior authorization, and copays with your plan and the facility.

Are there free or low-cost rehab programs in Spokane?

Yes — you can find free or low-cost programs in Spokane. Start with the 24/7 Washington Recovery Help Line by calling 1-866-789-1511 for referrals to sliding-fee or state-funded programs. You can also contact Spokane County Community Services (SCRBH), which coordinates state-funded care, or use the Free, Sliding Scale Fee, and Payment Assistance filter options on this directory to find no-cost and low-cost options. If you do have insurance, your plan may cover some or even the full cost of treatment — you’ll need to call the facility to confirm.

• 2-1-1: Dial 2-1-1 for broader referrals, including housing and transportation support. If needed, you can access interpreters in 140+ languages. 

• Apple Health (Medicaid): The program can cover substance use care for eligible residents. Certain groups receive priority access, including pregnant people, people who use drugs intravenously, and youth. 

• State Substance Abuse Block Grants: Funds may be able to cover care for residents without insurance. 

• Community health centers: CHAS Health is among those that offer sliding-scale MAT and counseling. 

• Nonprofit and faith-based: Programs like Union Gospel Mission and Adult & Teen Challenge can provide long-term, low- or no-cost residential options. 

• Emergency stabilization: In a crisis (such as life-threatening withdrawal or intoxication) call 911 for medical emergencies, or contact Spokane’s regional crisis line at 877-266-1818 to be stabilized regardless of ability to pay. You may receive a bill later for hospital or transport services; financial-assistance programs are available through local hospitals.

Keep in mind there are many free non-clinical peer support and counseling resources available as well.

Best Rehabs in Spokane

What does “best” mean?

“Best” means best-for-you — care that matches your level of need, works with your insurance and budget, and fits your life (location, schedule, family). Start by listing what you need and what your plan covers, then choose an option you can start now and stick with. The programs below are examples of options that may be a good fit depending on your needs — explore them to see which might be right for you.

Facilities are included based on licensing, accreditations (when noted), years in operation, and endorsements from trusted local organizations. Always verify current availability and coverage. This is not a definitive ranking.

What are the best rehabs in Spokane?

Notable options include Spokane Treatment & Recovery Services (STARS) for its 24/7 withdrawal management and co-occurring expertise, Spokane Addiction Recovery Centers (SPARC) for long-standing residential and recovery housing, New Horizon Care Centers – Isabella House for pregnant and parenting women, and Pioneer Center East for residential care with MAT and psychiatric services. Before you choose, call to make sure there are current openings, the level of care offered, and in-network coverage for your insurance plan. Ask for a written estimate and bridge care if beds are full.

What are the best rehabs for women in Spokane?

Isabella House is the leading option for women — especially pregnant or parenting — offering residential treatment with mental health care, on-site primary care, and therapeutic childcare. Karen’s House (STARS) serves women with co-occurring disorders, and SPARC offers trauma-informed women’s residential care. When you call, check available care levels and, if needed, whether they offer childcare and transportation support. 

What are the best rehabs for veterans in Spokane?

One good option is Mann-Grandstaff VA Medical Center, which provides outpatient care, coordinated medications, and PTSD-informed therapy. Many Spokane nonprofits, such as STARS and Pioneer Human Services, serve veterans and provide VA coordination. Access may depend on VA eligibility or Community Care authorization. You can call to ask about trauma-informed care, coordination with VA benefits, and how they manage transitions between residential and outpatient care.

What are the best faith-based rehabs in Spokane?

Two faith-based options include Union Gospel Mission (UGM) LIFE Recovery, which offers a free residential discipleship model, and Adult & Teen Challenge – Spokane Men’s Center, which provides a Christian residential program. These programs may fit best if you want long-term, Christian-based recovery within a structured environment. You can also call other providers and ask if they have a spiritual recovery track available.

What are the best low-cost or free rehabs in Spokane?

Consider STARS, SPARC, and New Horizon Care Centers, which accept Medicaid (Apple Health) and may have state-funded slots. Spokane Regional Stabilization Center offers crisis detox regardless of insurance. Low- or no-cost options can vary based on eligibility and funding. Ask whether you qualify for sliding-fee or other financial help, and if they are full, whether you can join a waitlist and start bridge care immediately.

What are the best rehabs for co-occurring mental health in Spokane?

Options include STARS (co-occurring outpatient and residential programs with psychiatric support), SPARC (treats co-occurring mental health conditions and coordinates medical prescriptions with outside healthcare teams), and Pioneer Center East (specializes in serious mental illness with substance use and prescribes medication with the guidance of a psychiatrist). For teens, Healing Lodge integrates mental health therapy into adolescent treatment.

What are the best intensive outpatient (IOP) programs in Spokane?

Solid options to consider include STARS (offers an IOP with individual and group counseling sessions and education on relapse prevention and coping skills) and SPARC (provides step-down IOP with evidence-based therapy). When you call, ask about scheduling options (days, evenings, etc.), whether telehealth is provided, and MAT policy as needed.

Choosing the Right Rehab

How do I choose the right level of care?

Start with an independent assessment from a clinician who specializes in substance use problems and isn’t employed by a treatment center. They can help you choose between treatment options like outpatient, residential, hospital inpatient, withdrawal management (detox), and medications used alongside therapy. Learn more about choosing the right rehab for your needs. 

Who can help me choose the best rehab in Spokane right now?

Call the 24/7 Washington Recovery Help Line at 1-866-789-1511for statewide support. Local providers such as Frontier Behavioral Health or STARS can also help you find care that fits your needs. If lines are busy, dial 2-1-1 for referrals for treatment, housing, and transportation. Washington also has certified peer counselors with lived experience who work in clinics and hotlines to help guide you through options and next steps.

When you call, say: “I’m in Spokane and need [detox/IOP/residential]; I have [insurance/Medicaid/no insurance]. Do you have openings this week?”

How can I check if a Spokane rehab is licensed (and accredited)?

Substance use treatment programs in Washington are required to be licensed as Behavioral Health Agencies by the Department of Health (DOH). You can check a facility’s license status, and see if there have been any complaints, by searching DOH’s online directory. You can also call a facility and ask if they hold national accreditation (The Joint Commission, CARF, or COA). Accreditation isn’t required, but it’s a useful extra quality signal. Learn more about accreditation and other indicators of quality care.