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5 Best Methadone Clinics in San Antonio, TX (2026)

We list 6 methadone clinics in San Antonio, TX, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 6Treatment facilities
  • 2Offer detox
  • 0Inpatient / residential
  • 5Accept Medicaid

Methadone Clinic (OTP): the basics

A methadone clinic, formally called an opioid treatment program (OTP), is a federally certified clinic that treats opioid use disorder with medication, mainly methadone. You visit to take a supervised dose and get counseling and medical care. Under 2024 federal rules, stable patients can earn take-home doses sooner. Search below to find methadone clinics near you. Read the full guide →

2026 rankings

Top 5 methadone clinics in San Antonio, TX

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Metro Treatment of Texas LP – New Season Treatment Center

    San Antonio, TX

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    4.3Google94 reviews

    Best for: Supervised detoxCARF

    Why it made our list: CARF accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  2. River City Rehabilitation Center Inc

    San Antonio, TX

    7.1Very goodStartDrugRehab Score 7.1 out of 10

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  3. Texas Treatment Services LLC – STOP SA

    San Antonio, TX

    7.1Very goodStartDrugRehab Score 7.1 out of 10
    4.4Google92 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  4. Community Medical Services – San Antonio on McCarty

    San Antonio, TX

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    4.2Google96 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  5. Brookdale Alliance – Center for Health Maintenance

    San Antonio, TX

    6.7GoodStartDrugRehab Score 6.7 out of 10
    5.0Google1 review

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts self-pay.

    View details

See the best rehab centers in San Antonio, TX →

All methadone clinics in San Antonio, TX

7.9Very goodStartDrugRehab Score 7.9 out of 10
4.3Google94 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

7.1Very goodStartDrugRehab Score 7.1 out of 10
3.4Google91 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

River City Rehabilitation Center Inc

San Antonio, TX 78214

7.1Very goodStartDrugRehab Score 7.1 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

6.7GoodStartDrugRehab Score 6.7 out of 10
5.0Google1 review

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Self-pay

“Get help” calls our free helpline, not this facility.

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.2Google96 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

7.1Very goodStartDrugRehab Score 7.1 out of 10
4.4Google92 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

More options in San Antonio, TX

Methadone Clinics in other Texas cities

Frequently asked questions

How many methadone clinics are in San Antonio, TX?

We list 6 methadone clinics in San Antonio, TX, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.