Drug and alcohol detox programs in Alexandria operate under Virginia’s behavioral health licensing framework. The Virginia Department of Behavioral Health and Developmental Services (DBHDS) is the primary licensing authority for all detox facilities, residential SUD treatment programs, and medication-assisted treatment providers in the state.
Facilities must meet DBHDS standards under 12 VAC 35-105 and, for Medicaid participation, satisfy ASAM level-of-care certification requirements administered by the Department of Medical Assistance Services (DMAS).
Alexandria has taken a structured, city-led approach to the overdose crisis. In 2023, the City launched its Opioid Work Group Strategic Three-Year Plan covering 2023 to 2026, organized around five priorities: prevention and education, treatment and recovery, supply reduction, diversion to treatment, and coordinated overdose response.
Active subcommittees work to expand evidence-based treatment access and strengthen harm reduction partnerships across the city. For residents who need publicly funded residential detox, Alexandria contracts with National Capital Treatment and Recovery (NCTR) through Arlington County.
Services are available through Arlington Recovery Center, Phoenix House, and Demeter House. Alexandria Residential Treatment Coordinator coordinates referrals, and 24-hour assistance is available by calling 703.746.3636.
Alexandria sits in the high-cost Northern Virginia market, so privately funded detox can run well above the state average. Knowing how to choose a detox center before you begin your search helps you match the right level of care to your clinical needs and your financial situation.

