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Roanoke, Virginia · 9 licensed programs

7 Best Rehab Centers in Roanoke, VA (2026)

Roanoke, VA has 9 licensed drug and alcohol treatment facilities listed in SAMHSA's FindTreatment.gov data: 3 offer detox, 3 provide residential (inpatient) care, 8 offer medication-assisted treatment, and 9 accept Cardinal Care (Virginia Medicaid). Compare levels of care, insurance accepted and accreditation below.

  • 9Treatment facilities
  • 3Offer detox
  • 3Inpatient / residential
  • 9Accept Medicaid

2026 rankings

Top 7 rehab centers in Roanoke, VA

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. Into Action Recovery and – Wellness Center

    Roanoke, VA

    8.0ExcellentStartDrugRehab Score 8.0 out of 10

    Best for: Intensive outpatient careCARF

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

    View details
  2. Pinnacle Treatment Services of Roanoke

    Roanoke, VA

    7.9Very goodStartDrugRehab Score 7.9 out of 10

    Best for: Residential treatmentCARF

    Why it made our list: CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and self-pay.

    View details
  3. FIRST Recovery – Crescent Counseling and Casework Services

    Roanoke, VA

    7.7Very goodStartDrugRehab Score 7.7 out of 10

    Best for: Intensive outpatient careCARF

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

    View details
  4. Roanoke Comprehensive Treatment Center

    Roanoke, VA

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.3Google156 reviews

    Best for: Methadone treatmentCARF

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

    View details
  5. Intercept True North Health Clinic

    Roanoke, VA

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    3.4Google7 reviews

    Best for: Detox and residential careCOA

    Why it made our list: COA accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.

    View details
  6. Kuumba Comm Health/Wellness Center Inc – New Horizons Healthcare

    Roanoke, VA

    6.9GoodStartDrugRehab Score 6.9 out of 10
    4.1Google539 reviews

    Best for: Supervised detox

    Why it made our list: Offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  7. Blue Ridge Behavioral Healthcare – Rita J Gliniecki Recovery Center

    Roanoke, VA

    6.6GoodStartDrugRehab Score 6.6 out of 10
    4.0Google9 reviews

    Best for: Detox and residential care

    Why it made our list: Offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details

See the best rehab centers in Virginia →

All treatment centers in Roanoke

7.3Very goodStartDrugRehab Score 7.3 out of 10
3.4Google7 reviews

COA accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Partial Hospitalization
  • +5 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.9Very goodStartDrugRehab Score 7.9 out of 10

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Partial Hospitalization
  • Intensive Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · Self-pay

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

8.0ExcellentStartDrugRehab Score 8.0 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

7.7Very goodStartDrugRehab Score 7.7 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.3Google156 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.1GoodStartDrugRehab Score 6.1 out of 10
2.4Google64 reviews
Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Levels of care available in Roanoke

Level of careFacilities in RoanokeStatewide
Detox3 in Roanoke49 in VA
Inpatient / Residential3 in Roanoke43 in VA
Partial Hospitalization (PHP)4 in Roanoke46 in VA
Intensive Outpatient (IOP)6 in Roanoke101 in VA
Outpatient8 in Roanoke193 in VA
Medication-Assisted Treatment (MAT)8 in Roanoke211 in VA
Methadone Clinic (OTP)135 in VA
Dual Diagnosis7 in Roanoke210 in VA
Sober Living / Transitional Housing15 in Roanoke204 in VA
Telehealth8 in Roanoke208 in VA

By insurance in Roanoke

Programs for specific groups

Rehab near Roanoke

All rehab centers in Virginia →

Frequently asked questions

How many drug and alcohol rehab centers are in Roanoke, VA?

Our directory lists 9 licensed substance use treatment facilities in Roanoke, VA, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.

Are there detox centers in Roanoke, VA?

Yes. 3 programs in Roanoke, VA offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.

Which rehabs in Roanoke, VA accept Cardinal Care (Virginia Medicaid)?

9 facilities in Roanoke, VA report accepting Medicaid (Cardinal Care (Virginia Medicaid)). Coverage depends on your plan and the program's network, so confirm before admission.

Do rehabs in Roanoke, VA take private insurance?

9 facilities in Roanoke, VA 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.

Is there inpatient rehab in Roanoke, VA?

3 facilities in Roanoke, VA offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.

Can I get medication-assisted treatment (MAT) in Roanoke, VA?

Yes. 8 programs in Roanoke, VA use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.

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