Find Drug & Alcohol Detox Centers in Roanoke, VA

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Detox Centers in Roanoke

15 Results

Name	Address	Detox Service Setting	Levels Of Care
Anderson and Associates	706 Campbell Ave SW Roanoke, VA 24016	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Avenues To Wellness	16 Walnut Avenue Southwest Roanoke, VA 24016	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientAftercareDual Diagnosis
Blue Ridge Behavioral Healthcare Rita J Gliniecki Recovery Center	3003 Hollins Road Northeast Roanoke, VA 24012	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientPHP+1
Blue Ridge Behavioral Healthcare The Burrell Center	611 McDowell Avenue Northwest Roanoke, VA 24016	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
BrightView Roanoke	1345 Plantation Rd NE Roanoke, VA 24012	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Roanoke Comprehensive Treatment Center	3208 Hershberger Road Northwest Roanoke, VA 24017	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
True North Health Clinic	5673 Airport Rd NW Roanoke, VA 24012	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Salem VA Medical Center	1970 Roanoke Boulevard Salem, VA 24153	Detox Service Setting Hospital DetoxOutpatient DetoxMAT+1	Levels Of Care InpatientOutpatient
LewisGale Medical Center	1900 South Electric Road Salem, VA 24153	Detox Service Setting Hospital DetoxInpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientPHP+3
Mount Regis Center	125 Knotbreak Road Salem, VA 24153	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientPHP+4
Horizon Behavioral Health	1409 Ole Dominion Boulevard Bedford, VA 24523	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientAftercareDual Diagnosis+2
Alleghany Highlands Community Services Guinan Center	311 South Monroe Avenue Covington, VA 24426	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
Sovah Health – Martinsville	320 Hospital Drive Martinsville, VA 24112	Detox Service Setting Hospital DetoxInpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientPHP+1
BrightView Lynchburg	3704 Old Forest Rd Lynchburg, VA 24501	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Centra Bridges Treatment Center	693 Leesville Road Lynchburg, VA 24502	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientIntensive Outpatient+2

Drug & Alcohol Detox in Roanoke, VA

Roanoke has historically carried one of the highest overdose burdens in Virginia. For more than a decade, emergency department visits from nonfatal overdoses have run at roughly twice the statewide average, according to the Virginia Department of Health. In response, the city has built out an unusually broad network of public treatment and harm reduction resources.

The more recent data is encouraging. Roanoke City recorded a 20 percent decline in its fatal overdose rate between 2022 and 2023, and nonfatal overdose counts have continued to fall into 2025. Community harm reduction efforts, wider naloxone availability, and expanded access to medication-assisted treatment are all credited as contributing factors.

Detox programs in Roanoke operate within a regulatory structure overseen by the Virginia Department of Behavioral Health and Developmental Services (DBHDS), the state agency that licenses every substance use disorder treatment facility in Virginia.

Blue Ridge Behavioral Healthcare (BRBH), the Community Services Board serving Roanoke City, Salem, and the surrounding counties, operates the Rita J. Gliniecki Recovery Center, a 16-bed crisis stabilization and medical detox unit that accepts walk-ins 24 hours a day. BRBH accepts Medicaid, Medicare, and most private insurance, with a sliding-fee scale for people without coverage.

BRBH provides a low-barrier entry point for people without insurance or financial resources, while private and nonprofit facilities fill the gap for those seeking residential or higher-acuity care with more clinical amenities or specialized programming.

If you are looking for a detox center in Roanoke, understanding where the public safety net begins and ends is a good place to start.

Paying for Detox in Roanoke

Understanding the cost of detox in Roanoke is often one of the first questions families ask, and the reassuring news is that several coverage options exist.

Virginia’s insurance requirements, a robust Medicaid benefit, and a set of nonprofit and government-funded programs make medically supervised detox reachable even when finances are tight.

If you are unsure where to start, reviewing your detox cost and coverage options before calling a facility can help you ask the right questions during admissions.

How Much Does Detox Cost in Roanoke?

The cost of detox in Roanoke varies with the level of clinical supervision required, the substances involved, the length of stay, and whether the provider is a public community program or a private facility. People with complex withdrawal needs or co-occurring medical conditions typically require a higher level of care, which raises the total. The figures below are general cash-pay estimates before insurance or financial aid.

$125,000 (hospital-based care)

Medical Detox

$44,800 (30-day residential stay)

Inpatient Rehab

$7,400 (varies by duration and intensity)

Outpatient Rehab

$6,600 (annually)

Methadone Treatment

Medicare and Medicaid in Roanoke

Medicare

Medicare covers medically necessary detox and substance use disorder treatment for enrolled Roanoke residents. Part A covers inpatient hospital detoxification, Part B covers outpatient services such as evaluation and counseling, and Part D covers medications used in treatment. Since 2020, Medicare has also covered opioid treatment program services, including methadone, for eligible beneficiaries. Contact your plan to confirm in-network providers and any prior-authorization requirements. Source: Medicare.gov.

Medicaid

Virginia Medicaid covers a full continuum of detox and substance use disorder services through its Addiction and Recovery Treatment Services (ARTS) benefit, administered by DMAS. ARTS covers inpatient detoxification, residential SUD treatment, outpatient services, and medication-assisted treatment, including buprenorphine, methadone, and naltrexone. Blue Ridge Behavioral Healthcare accepts Medicaid and serves as a primary public entry point for people in need. Most recipients receive these benefits through a managed care organization, so contact your MCO to confirm network providers.

Other Ways to Pay for Detox Treatment

Several programs help Roanoke residents cover the cost of care when insurance is limited or unavailable.

Sliding-fee scales

BRBH and several other Roanoke-area nonprofits offer income-based fee reductions. No one is denied services at BRBH because of an inability to pay, which makes it a dependable option for people without coverage.

SAMHSA Block Grant funding

Virginia receives federal Substance Use Prevention, Treatment, and Recovery Services Block Grant funds, distributed through DBHDS to Community Services Boards. These funds help subsidize care for uninsured clients at BRBH and affiliated programs.

Veterans programs

TRICARE covers addiction treatment for active-duty and retired service members. The Salem VA Medical Center, adjacent to Roanoke, provides substance use disorder treatment and medication-assisted treatment for eligible veterans.

Bradley Free Clinic (HOPE Initiative)

A licensed nonprofit that provides addiction treatment services at little or no cost to adults with limited financial resources.

Roanoke, Virginia Regulations and Accreditation for Detox

Virginia Department of Behavioral Health and Developmental Services (DBHDS)

DBHDS is the primary state licensing authority for every substance use disorder treatment facility in Virginia, including detox programs in Roanoke. It issues licenses, conducts compliance inspections, and monitors adherence to the Rules and Regulations for Licensing Providers (12VAC35-105). All residential detox, outpatient SUD, and crisis stabilization programs must hold an active DBHDS license to operate. Effective November 2025, new applicants for high-priority services must complete DBHDS Initial Applicant Orientation Training before their application is reviewed. More at dbhds.virginia.gov.

Virginia Department of Medical Assistance Services (DMAS)

DMAS administers the Medicaid ARTS benefit in Virginia and certifies residential and outpatient SUD providers for Medicaid reimbursement. It requires residential SUD programs to meet ASAM Level of Care criteria for certification at Levels 3.1, 3.3, 3.5, and 3.7. This dual DBHDS and DMAS framework means facilities serving Medicaid patients in Roanoke must satisfy both licensing and clinical-standards requirements. More at dmas.virginia.gov.

Blue Ridge Behavioral Healthcare (BRBH) as a Community Services Board

BRBH is one of 40 Community Services Boards established under the Code of Virginia. CSBs carry a statutory obligation to serve as the primary public entry point for behavioral health and SUD treatment in their jurisdictions. BRBH is required to maintain access to crisis stabilization and medical detox 24 hours a day for residents of Roanoke City, Salem, and Botetourt, Craig, and Roanoke Counties. CSBs are funded and monitored by DBHDS. More at brbh.org.

Virginia Administrative Code, 12VAC35-105

This is the foundational state licensing regulation governing all DBHDS-licensed providers, including detox facilities. It sets requirements for staffing, safety, clinical standards, client rights, and reporting, and all licensed detox and crisis stabilization programs in Roanoke must comply with it. Read it at law.lis.virginia.gov.

Key MAT Medications and Regulatory Status in Roanoke

Medication-assisted treatment in Roanoke follows both federal and state regulatory frameworks. Federally, opioid treatment programs that dispense methadone must be certified under SAMHSA OTP rules (42 CFR Part 8) and hold DEA registration. At the state level, DBHDS licenses MAT providers and DMAS certifies those billing Medicaid. Virginia aligns its MAT standards with ASAM criteria, with counseling an expected component of care alongside medication.

Buprenorphine

Buprenorphine is widely available in Roanoke through clinic-based providers and telehealth prescribers. Virginia Medicaid covers it under the ARTS benefit, and no special facility certification is required beyond a prescriber’s DEA registration. Its telehealth accessibility makes it a practical option for starting treatment quickly.

Methadone

Methadone must be dispensed through a SAMHSA-certified Opioid Treatment Program. Patients typically attend a clinic for daily dosing at first, with take-home doses permitted as they progress in treatment. Virginia Medicaid covers methadone under the ARTS benefit.

Naltrexone

Naltrexone has no misuse potential and requires no special facility license or OTP certification. Both oral and injectable (Vivitrol) formulations are available in Roanoke and are fully covered by Virginia Medicaid. It is commonly used in both opioid and alcohol use disorder treatment.

Overdose Prevention and Harm Reduction in Roanoke

Roanoke has a more active harm reduction network than most comparably sized cities in Virginia, built over years of response to persistently high overdose rates. These organizations provide naloxone, sterile supplies, HIV and hepatitis C testing, and connections to treatment for people who are not yet ready to enter a formal program.

The Roanoke City Health District has identified fentanyl adulteration of the local drug supply as a persistent concern and has made fentanyl test strips and drug-checking resources a core part of local overdose prevention work.

Virginia Harm Reduction Coalition (VHRC)

https://www.carrynaloxone.org

Free sterile syringe distribution and safe disposal Naloxone (Narcan) distribution Patient advocacy and case management Housing, benefits, and ID document navigation Connections to Medicaid enrollment and treatment

A peer-run nonprofit headquartered in Roanoke (P.O. Box 2376, Roanoke, VA 24010), VHRC is one of the most active harm reduction organizations in Virginia. In 2024, VHRC participants responded to 1,494 overdoses and collected 161,040 used syringes for safe disposal, a 42 percent increase from 2023. Its mobile outreach model meets people where they are and often serves as a bridge to treatment.

The Drop-In Center (Council of Community Services)

https://councilofcommunityservices.org

Syringe exchange mobile unit (registered participants only) HIV and hepatitis C rapid testing and linkage to care Risk reduction counseling Wound care and clean-works kits PrEP navigation and the CLEAR skill-building program

Operated by the Council of Community Services (356 Campbell Ave SW, Roanoke, VA 24016), the Drop-In Center is Roanoke’s state-authorized syringe exchange program and runs a mobile unit offering one-for-one exchanges to registered clients. Roanoke was the fourth locality in Virginia to receive state approval for a syringe exchange, and the Drop-In Center has operated it since the program launched in 2020.

Roanoke Health District (Virginia Department of Health)

https://www.vdh.virginia.gov

Free Narcan (naloxone nasal spray) at health department locations REVIVE! overdose and naloxone education trainings Fentanyl, benzodiazepine, and xylazine test strips Drug disposal kits Peer recovery specialist referrals

The Roanoke City and Alleghany Health District is among the most active local health departments in the state for naloxone distribution, and free Narcan is available without a prescription at its offices. Roanoke City also purchased a drug spectrometer to test for adulterants beyond what standard test strips detect, including xylazine (tranq) and household chemical compounds.

Blue Ridge Behavioral Healthcare (BRBH) Crisis Line and Naloxone Access

https://www.brbh.org

24-hour crisis line for SUD and mental health emergencies Naloxone distribution Walk-in crisis stabilization and medical detox Peer recovery support services Outpatient MAT

BRBH (611 McDowell Ave NW, Roanoke, VA 24016) runs a 24-hour crisis line at 540-981-9351 that provides immediate phone support for anyone experiencing a substance use emergency in the Roanoke Valley. The organization actively distributes naloxone and is one of the entities the Roanoke Health District identifies as a primary community naloxone distributor.

Detox Statistics in Roanoke, Virginia

Roanoke has made meaningful progress in reducing overdose deaths since the 2021 and 2022 peaks, with expanded naloxone access and harm reduction services playing a documented role. Nonfatal overdose rates remain elevated compared with the rest of Virginia, but the 2024 and early 2025 trend lines are moving in the right direction.

20% Drop in Roanoke City Fatal Overdose Rate (2022 to 2023)

Roanoke City’s fatal overdose rate per 100,000 residents fell from 125 in 2022 to 102 in 2023, a 20 percent decrease. Salem saw an even steeper decline of 35 percent in the same period. Source: Virginia Department of Health via WFXR, November 2024.

Nonfatal Overdoses in Roanoke Down 30% in Early 2025

Compared with the same period in 2024, nonfatal overdoses in Roanoke City fell 30 percent in early 2025, according to preliminary data cited by the Virginia Department of Health. Source: VDH via WDBJ7, May 2025.

VHRC Participants Responded to 1,494 Overdoses in 2024

Participants in the Virginia Harm Reduction Coalition’s programs reported responding to 1,494 overdoses in 2024, up from 1,084 in 2023. The organization also collected 161,040 used syringes for safe disposal in 2024, a 42 percent increase over the prior year. Source: Virginia Harm Reduction Coalition 2024 annual data.

FAQs About Detox in Roanoke, VA

Can I walk into a detox center in Roanoke without an appointment?

Yes. Blue Ridge Behavioral Healthcare’s Burrell Center on McDowell Avenue accepts walk-in screenings for adults on weekdays, and the 16-bed Rita J. Gliniecki Recovery Center, BRBH’s crisis stabilization and detox unit, accepts admissions 24 hours a day, seven days a week. Bringing your insurance card is helpful but not required. You can also call the Access Center at 540-343-3007 during business hours or the 24-hour crisis line at 540-981-9351 to discuss options before arriving.

Does Virginia Medicaid cover inpatient detox in Roanoke?

Yes. Virginia Medicaid’s Addiction and Recovery Treatment Services (ARTS) benefit covers inpatient detox and residential SUD treatment for eligible enrollees. Coverage includes medical detoxification, short-term residential treatment, outpatient services, and MAT medications including buprenorphine, methadone, and naltrexone. Facilities must be DMAS-certified to bill Medicaid. Blue Ridge Behavioral Healthcare and several private providers in the Roanoke area accept Virginia Medicaid.

What substances are treated at Roanoke detox centers?

Roanoke-area detox programs treat a range of substances, including opioids (heroin, fentanyl, and prescription pain medications), alcohol, benzodiazepines, cocaine, and methamphetamine. The Rita J. Gliniecki Recovery Center at BRBH specifically lists alcohol, benzodiazepines, cocaine, methamphetamine, and opioids as substances for which it provides medically supervised residential detox. Private outpatient providers also offer MAT-based treatment for opioid and alcohol use disorder.

Is medication-assisted treatment available in Roanoke?

Yes. Multiple providers in Roanoke offer MAT, including buprenorphine (Suboxone), methadone, and naltrexone (Vivitrol). Outpatient clinics such as BrightView and Spero Health accept Medicaid and offer buprenorphine-based treatment with counseling. Telehealth prescribers have also made buprenorphine initiation more accessible, allowing some patients to begin treatment remotely. Methadone must be dispensed through a certified Opioid Treatment Program and is not available at standard pharmacies.

How long does detox take in Roanoke?

Medical detox length varies by substance and individual health factors. At BRBH’s crisis stabilization unit, short-term residential stays typically run 3 to 15 days. Alcohol and benzodiazepine withdrawal may require 5 to 10 days of medical monitoring, while opioid withdrawal managed with buprenorphine induction can involve a shorter inpatient stay followed by outpatient continuation. The timeline is set clinically, not by a fixed program schedule, and your treatment team will assess daily whether you are stable enough to step down to a lower level of care.

What happens after detox in Roanoke?

Detox addresses physical withdrawal but does not treat the underlying substance use disorder on its own. Most Roanoke providers build discharge planning into the detox stay, connecting patients to the next appropriate level of care before they leave. Common next steps include residential treatment, intensive outpatient programs, outpatient MAT continuation, and peer recovery support. BRBH coordinates transitions from its crisis unit to its own outpatient services, and private providers such as BrightView offer step-down programming. For additional help identifying options, you can call the SAMHSA National Helpline at 1-800-662-HELP (4357), a free and confidential 24/7 referral service, or Virginia’s 211 hotline.

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