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Best treatment centers in San Antonio, TX: 2026 guide

Published April 2026 · 10 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals. Editorial process.

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.

Facilities in San Antonio, TX

Abilene Absolute Recovery Solutions
Abilene, TX
OutpatientMATTelehealth
Call 325-400-8586
Abilene Betty Hardwick
Abilene, TX
OutpatientIOPMAT
Call 325-690-5100
ABODE Treatment Inc
Abilene, TX
OutpatientIOP
Call 817-246-8677 x800
Serenity Foundation of Texas
Abilene, TX
ResidentialOutpatientIOP
Call 325-673-6489
Browse all facilities →

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Related guides

How to choose a treatment center: The complete checklistWhat does insurance actually cover for addiction and mental health treatment?Understanding relapse: Why it happens and what to do nextHow much does rehab actually cost in 2026? A real breakdown

Disclaimer: Informational only. Not medical advice. Need help? SAMHSA: 1-800-662-4357.

→ View all facilities in our directory for this area

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Frequently asked questions

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Search our directory by state or city, or call SAMHSA at 1-800-662-4357 for free local referrals.
Does location matter for treatment?
Both local and distant treatment have advantages. Choose based on clinical need — local makes aftercare easier, distance provides separation from triggers.

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