Virginia · 247 licensed programs in 102 cities
We list 247 licensed drug and alcohol treatment facilities in Virginia across 102 cities, with the most in Richmond, Arlington, Winchester, and Lynchburg. 49 offer detox, 43 provide residential care and 217 accept Cardinal Care (Virginia Medicaid).
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Detox and residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and TRICARE.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission, CARF, COA, and NCQA accredited; offers detox, residential care, PHP, and IOP; accepts private insurance and self-pay.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance and Medicaid.
Best for: Private-pay residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance, TRICARE, and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.
Best for: Residential treatmentJoint Commission
Why it made our list: Joint Commission accredited; offers residential care, PHP, IOP, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and TRICARE.
There are 247 licensed drug and alcohol treatment facilities in Virginia in our directory, across 102 cities. 43 offer residential (inpatient) rehab, 49 offer detox and 211 provide medication-assisted treatment, based on SAMHSA FindTreatment.gov data updated October 2026.
Level of care
Insurance & cost
Specialized programs
Most people pay for rehab with health insurance. 228 facilities in Virginia accept private insurance and 217 accept Medicaid (Cardinal Care (Virginia Medicaid)). Under the Affordable Care Act and federal parity law, most plans must cover addiction treatment much like other medical care, though deductibles, prior authorization and network rules apply.
Without insurance, 102 programs report state or SAMHSA block-grant funding for people who qualify, and 79 offer sliding-scale fees based on income. What you pay depends mostly on the level of care: outpatient programs cost far less than residential rehab or medically managed detox.
Rehab coverage guides by insurer:
Not sure what your plan covers? Call (833) 589-6933 for a free, confidential benefits check.
Hopewell, VA 23860
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Norfolk, VA 23518
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Winchester, VA 22601
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Christiansburg, VA 24073
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Hampton, VA 23667
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE
“Get help” calls our free helpline, not this facility.
Galax, VA 24333
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Salem, VA 24153
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Williamsburg, VA 23188
Joint Commission · CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Salem, VA 24153
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Petersburg, VA 23805
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Chantilly, VA 20151
Joint Commission · COA · NCQA accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Richmond, VA 23235
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22204
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Reston, VA 20190
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Alexandria, VA 22312
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Glen Allen, VA 23060
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Virginia Beach, VA 23462
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Milford, VA 22514
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23321
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Franklin, VA 23851
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Winchester, VA 22603
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23320
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Chesapeake, VA 23320
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Lynchburg, VA 24501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Falls Church, VA 22042
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Roanoke, VA 24012
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22209
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Glen Allen, VA 23060
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Arlington, VA 22204
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Winchester, VA 22601
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Reston, VA 20190
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Virginia Beach, VA 23462
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Residential, inpatient and partial hospitalization programs for mental health conditions.
Henrico, VA 23294
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Clintwood, VA 24228
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Glen Allen, VA 23060
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Residential and day programs for anorexia, bulimia and binge eating disorder.
Clintwood, VA 24228
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Richmond, VA 23227
Levels of care
Payment accepted
Medicaid · Private insurance
“Get help” calls our free helpline, not this facility.
Fairfax, VA 22030
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Rehab guide
Your Virginia rehab guide
Treatment options in Virginia range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 247 facilities listed here, 49 offer detox, 43 provide residential (inpatient) treatment, 211 offer medication-assisted treatment (MAT) and 35 are federally certified opioid treatment programs that dispense methadone.
The right level of care depends on how severe the substance use is, whether withdrawal could be dangerous, other health conditions and the support you have at home. A clinical assessment, often free over the phone, is the usual first step.
217 facilities in Virginia report accepting Medicaid (Cardinal Care (Virginia Medicaid)) and 228 accept private health insurance. Under the Affordable Care Act and federal parity law, most health plans must cover substance use disorder treatment on terms comparable to other medical care, though prior authorization and network rules apply.
If you have no insurance, 102 programs in Virginia report government or SAMHSA block-grant funding, which can pay for treatment for people who qualify. Many others offer sliding-scale fees based on income.
The Virginia Department of Behavioral Health and Developmental Services (DBHDS) oversees publicly funded substance use treatment in Virginia. Local Community Services Boards (CSBs) are the public entry point for substance use treatment in every city and county. Visit the agency.
Virginia has expanded Medicaid, so adults with incomes up to about 138% of the federal poverty level can qualify for Cardinal Care (Virginia Medicaid), which covers addiction treatment.
In Virginia, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 30 days inpatient or up to 180 days of mandatory outpatient treatment. Laws and procedures change, so contact the local court clerk or an attorney before filing.
If you or someone else is in danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline). SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open 24/7 for treatment referrals.
Our directory lists 247 licensed substance use treatment facilities in Virginia, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 217 facilities in Virginia report accepting Cardinal Care (Virginia Medicaid). Covered services and provider networks vary by plan, so confirm with the program before admission.
102 programs in Virginia report state or federal (SAMHSA block grant) funding, which can cover treatment for people without insurance who qualify. Call (833) 589-6933 or SAMHSA's helpline at 1-800-662-4357 for help finding a low-cost option.
In Virginia, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 30 days inpatient or up to 180 days of mandatory outpatient treatment.
Our directory lists 247 licensed substance use treatment facilities in Virginia, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 49 programs in Virginia offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
217 facilities in Virginia report accepting Medicaid (Cardinal Care (Virginia Medicaid)). Coverage depends on your plan and the program's network, so confirm before admission.
228 facilities in Virginia accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (833) 589-6933 for a free insurance check.
43 facilities in Virginia offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 211 programs in Virginia use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.
Residential programs commonly run 28 to 30 days, with longer stays of 60 to 90 days for more severe addiction, and detox alone usually takes 3 to 10 days. The National Institute on Drug Abuse notes that most people need at least three months of treatment, across all levels of care, to significantly reduce or stop drug use, and that longer treatment is linked to better outcomes. 43 facilities in Virginia offer residential care.
Most people use private health insurance, Medicaid (Cardinal Care (Virginia Medicaid)), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (102 in Virginia report this funding) or sliding-scale fees. Call (833) 589-6933 for a free benefits check.
Cost depends mainly on the level of care and your coverage. Outpatient counseling is the least expensive; intensive outpatient and partial hospitalization cost more; residential rehab and medically managed detox cost the most because they include 24-hour care. With insurance, your share is set by your deductible, copays and out-of-pocket maximum, so verify benefits with the program before admission.
Yes. Many people travel for treatment, for example to put distance between themselves and triggers or to reach a specialized program. Check whether your plan covers out-of-state or out-of-network care first: Medicaid generally covers only in-state providers, while many private plans have national networks.
