Find Drug & Alcohol Detox Centers in Spokane, WA

Search Spokane detox centers. There are 12 inpatient detox, 11 outpatient, and 3 medication assisted detox centers in Spokane. Explore treatment options for alcohol, opiate, or prescription drug addiction and begin healing today.

Detox Centers in Spokane

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Name Address Detox Service Setting Levels Of Care Media

American Behavioral Health Systems Spokane Washington on Cozza

44 East Cozza Drive Spokane, WA 99208
Detox Service Setting
Inpatient DetoxMAT
Levels Of Care
InpatientAftercare
American Behavioral Health Systems Spokane Washington on Cozza

Gateway Counseling Services

140 South Arthur Street Spokane, WA 99202
Detox Service Setting
Outpatient Detox
Levels Of Care
Outpatient
Gateway Counseling Services

Spokane Regional Health District Opioid Treatment Services

1101 West College Avenue Spokane, WA 99201
Detox Service Setting
Outpatient Detox
Levels Of Care
OutpatientAftercare
Spokane Regional Health District Opioid Treatment Services

Spokane Treatment and Recovery Services

105 West 3rd Avenue Spokane, WA 99201
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientDual Diagnosis+1
Spokane Treatment and Recovery Services

Sun Ray Court Mens Program

518 South Browne Street Spokane, WA 99204
Detox Service Setting
Inpatient Detox
Levels Of Care
InpatientDual DiagnosisSober Living
Sun Ray Court Mens Program

Daybreak Youth Services – Spokane Inpatient

628 S Cowley St Spokane, WA 99202
Detox Service Setting
Hospital DetoxInpatient Detox
Levels Of Care
InpatientDual DiagnosisIntervention

Frontier Behavioral Health Clinic

107 S Division St Spokane, WA 99202
Detox Service Setting
Hospital DetoxInpatient DetoxOutpatient Detox+1
Levels Of Care
InpatientOutpatientDual Diagnosis+1

Pioneer Center East

3400 West Garland Avenue Spokane, WA 99205
Detox Service Setting
Inpatient Detox
Levels Of Care
Inpatient

Royal Life Centers at Spokane Heights

524 East Francis Avenue Spokane, WA 99208
Detox Service Setting
Hospital DetoxInpatient DetoxOutpatient Detox+1
Levels Of Care
InpatientOutpatientPHP+2

Sunshine Terrace and Behavioral Health

1102 S Raymond Rd Spokane Valley, WA 99206
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient
Sunshine Terrace and Behavioral Health

Lourdes Medical Center

520 North 4th Avenue Pasco, WA 99301
Detox Service Setting
Outpatient Detox
Levels Of Care
OutpatientAftercare
Lourdes Medical Center

Richland VA Clinic

825 Jadwin Avenue Richland, WA 99352
Detox Service Setting
Inpatient DetoxOutpatient DetoxMAT
Levels Of Care
InpatientOutpatientAftercare+3
Richland VA Clinic

Barth Clinic Ellensburg

2411 West Dolarway Road Ellensburg, WA 98926
Detox Service Setting
Outpatient Detox
Levels Of Care
OutpatientAftercareDual Diagnosis+2
Barth Clinic Ellensburg

Barth Clinic Treatment

201 East Lincoln Avenue Yakima, WA 98901
Detox Service Setting
Outpatient Detox
Levels Of Care
OutpatientAftercareDual Diagnosis+1
Barth Clinic Treatment

Triumph Treatment Services Riel House

613 Superior Lane Yakima, WA 98902
Detox Service Setting
Inpatient Detox
Levels Of Care
InpatientDual Diagnosis
Triumph Treatment Services Riel House

Drug & Alcohol Detox in Spokane, WA

Spokane’s detoxification and addiction treatment services are a vital network of state-supported public health initiatives and private care facilities. These facilities are regulated primarily by the Washington State Department of Health (DOH) and the Washington State Health Care Authority (HCA). However, the local system is rapidly adapting to address a severe crisis driven by fentanyl and methamphetamine.

In recent years, local initiatives have heavily emphasized harm reduction, low-barrier Medication-Assisted Treatment (MAT) and expanding mobile response capabilities to directly reach vulnerable populations.

It’s important to understand the local geography and resource distribution in Spokane as you are accessing care. A significant portion of the city’s essential services, including walk-in MAT clinics and high-volume harm reduction programs, are concentrated near downtown, which is the epicenter of local overdoses.

Washington state residents who are seeking state-funded inpatient detox beds at facilities like Pioneer Center East or Excelsior Wellness will find that waitlists are common, making early engagement with community navigators or bridge clinics crucial.

Recently, local initiatives have worked to close these gaps in care. The Spokane Fire Department is highly active in overdose response, frequently administering naloxone and connecting survivors to immediate resources.

Additionally, organizations like CHAS Health and Compassionate Addiction Treatment (CAT) operate low-barrier clinics, so residents can initiate buprenorphine treatment on the same day they seek help. This strategy provides immediate medical stabilization for patients while they await placement in longer-term residential care.

Find The Perfect Detox Center For You

Filter treatment centers in Spokane by level of care offered to find the best detox program for you or a loved one.

Paying for Detox in Spokane

Understanding the cost of drug and alcohol detox in Spokane helps you take the first steps toward recovery. While out-of-pocket costs can be high, Washington state has strong insurance mandates and numerous financial assistance programs, so treatment is accessible regardless of your financial situation.

How Much Does Detox Cost in Spokane?

The cost of detox in Spokane varies based on the level of care required to address your substance use concerns, the severity of your withdrawal symptoms and the facility you choose. Facility costs vary based on the types of therapies provided and amenities available, such as workout facilities, world-class chefs and holistic treatments like equine therapy, yoga and outdoor recreational facilities.

Medical complexity, length of stay and the need for specialized withdrawal medications also significantly influence the total bill. Fortunately, many Washington residents can utilize private insurance or Apple Health (Medicaid) to cover the majority of these expenses.

Outpatient MAT programs combine prescribed medications with counseling, allowing you to manage withdrawal while staying at home, making them a highly cost-effective option.

Costs in Washington for treatment may include:

$5,000 - $10,000
Medical Detox
$15,000 - $30,000
Inpatient Rehab
$3,000 - $8,000
Outpatient Rehab
$5,000 - $7,000
Methadone Treatment

Does Private Insurance Cover Detox in Spokane?

Yes, private insurance covers detox in Spokane. Under the Affordable Care Act and Washington state parity laws, insurance providers must offer behavioral health and substance use disorder benefits that are comparable to standard medical coverage.

The Washington State Office of the Insurance Commissioner oversees these regulations to ensure residents are not unfairly denied life-saving detox services.

The most popular private health insurance providers in the Spokane area include:

Premera
Kaiser Permanente
Regence
Molina Healthcare
United Health Care

Medicare and Medicaid in Spokane

Medicare

Medicare covers inpatient and outpatient detox services in Spokane. Part A covers hospitalization for severe withdrawal, while Part B covers outpatient services and MAT medications like methadone and buprenorphine. Copays and deductibles apply based on your Medicare plan.

Medicaid

Washington Apple Health (Medicaid) comprehensively covers inpatient, residential and outpatient detox, as well as MAT services. In Spokane, care is managed through regional Managed Care Organizations (MCOs), which frequently approve emergency detox admissions without requiring prior authorization.

Other Ways to Pay for Detox Treatment

Detox is a crucial first step to your recovery process. It is important that you do not let financial concerns stop you from seeking help. There are several alternative ways to pay for detox treatment in Spokane, including:

Sliding Scale Payment Systems: 

Community Health Centers like CHAS Health utilize sliding fee scales based on your income and household size, allowing uninsured residents to access outpatient detox and MAT affordably.

Nonprofits & Charities: 

Spokane is home to several nonprofit organizations, such as Pioneer Human Services and the Union Gospel Mission, which provide subsidized or fully funded recovery programs and residential care.

Local Government Programs: 

The Spokane County Community Services Department (Behavioral Health division) allocates funding to provide crisis services, triage and treatment access for low-income or uninsured county residents.

Tribal Funding: 

Native American populations can access culturally competent care and specialized behavioral health funding through the Spokane Tribe of Indians Department of Health and Human Services.

Spokane, Washington Regulations and Accreditation for Detox

The following are the key regulatory and accreditation bodies that oversee detox and withdrawal management services in Spokane:

Washington State Department of Health (DOH)

The primary state licensing authority for healthcare facilities in Washington. The DOH issues licenses to substance use disorder treatment centers, ensuring they meet rigorous safety, staffing and clinical standards.

Website: doh.wa.gov

Washington State Health Care Authority (HCA)

The HCA manages Washington Apple Health (Medicaid) and oversees the state’s behavioral health recovery system. They dictate programmatic standards and distribute federal and state funding for SUD treatment and detox services.

Website: hca.wa.gov

Spokane Regional Health District (SRHD)

While the DOH licenses facilities, SRHD serves as the lead local public health authority. They monitor local overdose epidemiology, provide community health education and operate their own Opioid Treatment Program (OTP) for the region.

Website: srhd.org

Key MAT Medications and Regulatory Status in Spokane

Medication-assisted treatment (MAT) in Spokane is highly regulated by the Washington DOH, the HCA and federal SAMHSA guidelines. The state actively promotes a “whole-person” approach, pairing MAT with behavioral counseling and social support. The following are some of the common FDA-approved medications used in MAT.

Buprenorphine: 

Highly accessible in Spokane, buprenorphine can be prescribed in standard primary care settings and via telehealth. This allows patients to initiate life-saving treatment quickly without visiting specialized clinics.

Methadone: 

Tightly restricted under federal and state law, methadone can only be dispensed through certified Opioid Treatment Programs (OTPs), such as the clinic run by the Spokane Regional Health District, requiring daily supervised dosing initially.

Naltrexone: 

As a non-addictive opioid antagonist with no potential for misuse, naltrexone requires no special DEA waiver. The injectable form (Vivitrol) is easily prescribed by standard clinicians for both opioid and alcohol use disorders and is covered by Apple Health.

Overdose Prevention and Harm Reduction in Spokane

Spokane has an active harm reduction community dedicated to keeping people alive during a severe toxic drug crisis. Local public health agencies, fire departments and community organizations work together to distribute life-saving supplies, offer basic medical care and build trust with individuals struggling with addiction.

These harm reduction services serve as a crucial safety net, preventing fatal overdoses and often acting as the first point of contact for individuals who eventually seek detox and long-term recovery.

Spokane Regional Health District (SRHD) Treatment Services

Syringe Services Program (SSP) Naloxone (Narcan) Distribution and Training Fentanyl Testing Strips Infectious Disease Testing (HIV/HCV)

SRHD runs a comprehensive harm reduction program aimed at reducing the spread of blood-borne pathogens. Their syringe exchange also acts as a hub for connecting individuals to the district’s methadone clinic and broader treatment resources.

Compassionate Addiction Treatment (CAT)

Walk-In Low-Barrier MAT Peer Support and Recovery Coaching Naloxone Distribution Basic Survival Supplies and Meals

Located in downtown Spokane, CAT provides an incredibly low-barrier environment where individuals can walk in off the street, receive basic survival needs and initiate medication-assisted treatment without an appointment or insurance barriers.

CHAS Health

Street Medicine Outreach Substance Use Disorder Screening Low-Barrier Buprenorphine Access Wound Care and Hygiene Kits

CHAS Health operates medical outreach teams that meet unhoused populations in encampments and shelters across Spokane. They integrate harm reduction with primary care, providing immediate medical attention and pathways to outpatient detox.

People's Harm Reduction Alliance (PHRA)

Mail-Based Naloxone Distribution Safer-Use Supplies (Syringes, Smoking Kits) Fentanyl and Xylazine Test Strips Overdose Prevention Education

While operating statewide, PHRA provides a vital mail-based program for Spokane residents who may face stigma, lack transportation, or live outside the downtown core. They ship free, confidential harm reduction supplies directly to individuals’ homes.

Detox Statistics in Spokane, Washington

Spokane County is currently battling a severe overdose crisis driven largely by a highly toxic drug supply of synthetic opioids and stimulants. While recent data suggests the curve of fatal overdoses may finally be flattening, the sheer volume of incidents remains a critical public health emergency.

High Methamphetamine Involvement: 

In a shift from national trends, methamphetamine was the most common drug connected to overdose deaths in Spokane County in 2025, closely followed by fentanyl.

980 Narcan Administrations: 

The Spokane Fire Department is heavily burdened by the crisis, responding to 1,795 overdose patients and administering the reversal drug Narcan 980 times in 2025 alone.

344 Overdose Deaths in 2025: 

Spokane County recorded 344 fatal overdoses in 2025, maintaining historically high numbers despite a minor decrease from 346 deaths in 2024.

FAQs About Detox in Spokane, WA

How do I access state-funded detox in Spokane?

To access state-funded detox, you can call the Spokane County Regional Behavioral Health crisis line or visit a community clinic like CHAS Health. Facilities like Pioneer Center East accept state funding, though demand is high, so coordinating through a peer navigator or social worker is highly recommended.

Is detox accessible via the Spokane Transit Authority (STA)?

Yes, many major outpatient detox centers, MAT clinics and harm reduction sites—especially those located downtown or along the Division Street corridor—are easily accessible via standard STA bus routes, allowing residents without vehicles to attend daily counseling and dosing appointments.

Can I get same-day buprenorphine (Suboxone) in Spokane?

Yes, several low-barrier clinics in Spokane offer same-day MAT induction. Compassionate Addiction Treatment (CAT) and various CHAS Health locations specialize in immediate, walk-in stabilization to manage withdrawal symptoms quickly before a formal residential placement is required.

Are there detox programs in Spokane specifically for pregnant women?

Washington state prioritizes pregnant individuals for substance use treatment. Programs at facilities like Excelsior Wellness and specialized tracks within the Apple Health network ensure pregnant women receive immediate, medically supervised MAT and prenatal care without waitlists.

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