Local guides
Best treatment centers in San Antonio, TX: 2026 guide
San Antonio, Texas has 30 treatment facilities in our directory offering detox, residential, IOP, outpatient, and MAT services. This guide helps you find quality care in the San Antonio metro area.
What to look for in San Antonio
Verify Texas state licensing first. Then check for CARF or Joint Commission accreditation, licensed clinical staff, evidence-based modalities, and transparent pricing. Use our choosing guide for detailed criteria.
Levels of care in San Antonio
Local facilities offer the full continuum: medical detox, residential (30-90 days), PHP (full-day without overnight), IOP (9-19 hours/week), standard outpatient, and MAT for opioid/alcohol disorders.
Insurance and payment
Most major insurers have in-network providers in San Antonio. Medicaid covers treatment in Texas. Several facilities offer sliding-scale fees. State-funded options are available through the Texas substance abuse agency. Call SAMHSA at 1-800-662-4357 for local options.
Getting started
Call 2-3 facilities, ask our recommended clinical questions, and compare. The right facility has strong clinical quality at the appropriate level of care for your situation.