Table of Contents

I. Getting Help

What to Consider When Choosing a Rehab Center

Here are a few suggestions for questions to ask when thinking about your ideal rehab programs:

Your individual life circumstances, such as your finances and the severity of your addiction, will impact your rehab options.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab.

II. The Best Rehabs in Seattle, WA

Regardless of your rehab needs, your location, and your insurance coverage, there are options available to help you out of the cycle of substance abuse. With more outpatient options available, services are becoming more affordable. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 156 licensed substance abuse treatment centers in the Seattle area. Many of these organizations are on a mission to help provide those with fewer resources access to substance abuse recovery services. Out of these 156 rehab centers, Navos Mental Health Solutions has received the highest overall scores based on our five core metrics.


We evaluated the quality and value of each facility using five core metrics. Please read a full breakdown of our filtering process and ranking methodology for more information.

1. Navos Mental Health Solutions

With an overall score of 6.6 points out of a possible 10 points, the substance abuse program at Navos provides regular and intensive outpatient treatment for clients on opioid medications and those in need of medications for detoxification and/or psychiatric disorders. Using various substance abuse counseling approaches, as well as a multitude of ancillary services, the center works to change lifestyles to facilitate permanent substance abuse cessation at a lower cost than traditional inpatient programs.

This group scored 10 points in both treatment approaches and ancillary services. Clients are able to access medical treatments to help the body through the detoxification process coupled with counseling services, such as anger management and emotional behavioral therapy, for a wide range of problems that could be underlying causes of substance abuse. The center also features the Community Reinforcement Approach Plus Vouchers program, which provides familial, social, vocational, and recreational reinforcers, in addition to material incentives, to encourage and support a drug-free lifestyle. Ancillary services include family and marriage counseling, individualized therapy, and job readiness and social skills development programs, among many others. The center scored lowest for not offering any special programs targeted to specific populations; however, it does offer community outreach and early intervention and education programs for HIV, AIDS, and hepatitis, among other issues.

  • Rehabilitation Services Provided: 5.55
  • Treatment Approaches: 10
  • Cost: 7.15
  • Special Programs for Unique Demographics: 0
  • Ancillary Services: 10

2. Asian Counseling and Referral Service

For Asian and Pacific Islander-language speakers who have substance use disorder problems, Asian Counseling and Referral Service (ACRS) scored second on our list of the top ten rehabs in Seattle with an overall score of 6.4 points. This organization received the highest score for the number of treatment approaches it offers to clients. In addition to the classic 12-step approach, it focuses on various counseling techniques designed to facilitate lifelong emotional healing and learning, such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and the use of the Community Reinforcement Approach Plus Vouchers program.

ACRS delivers culturally competent and multilingual care that incorporates history, clients’ worldviews, values, beliefs, and unique strengths to support holistic, long-term, and sustainable recovery.  The center also provides a wealth of 30 ancillary services that include discharge planning, medication management, treatment for gambling, primary care, mental health services, housing assistance, acupuncture, and more.

ACRS scored 7.15 points for cost, as it accepts a wide range of payment options, including federal and state assistance vouchers, and provides a sliding-fee scale to qualified clients. Another high-scoring category for this center revolves around special programs for unique demographics. Programs are specialized for adults, senior citizens, youth, those with co-occurring mental health issues, and more.  It scored lowest for its limited variety of rehabilitation services. Opioid-addicted patients are not accepted and services are on an outpatient basis only, primarily focusing on counseling and patient education while lacking in medicine-based treatments.

  • Rehabilitation Services Provided: 2.22
  • Treatment Approaches: 10
  • Cost: 7.15
  • Special Programs for Unique Demographics: 7.7
  • Ancillary Services: 6.88

3. Seattle Counseling Service

Taking the third place on our list, with an overall score of 6.2 points, is Seattle Counseling Service, an outpatient treatment center that assists people through medical and non-medical treatment options to stop their pattern of substance abuse. Clients, including those addicted to opioid medications or with co-occurring mental health conditions, can access substance abuse treatment and maintenance. The outpatient facilities here provide medication, counseling, and several proven substance abuse treatment approaches in both individual and group settings, including for those persons court-ordered to receive treatment.

The center received its highest score for its special programs for unique demographics; it features specially-tailored programs for the LGBTQ community, active military members and veterans, senior citizens, people with HIV or AIDS, and victims of trauma, among others. Additionally, hearing-impaired persons and Tagalog speakers can receive interpretation services. The lowest score for this center was related to cost and payment options, but it does have a sliding fee scale for low-income clients and accepts private health insurance and state and federally-funded programs in addition to cash for services.

  • Rehabilitation Services Provided: 6.66
  • Treatment Approaches: 5
  • Cost: 4.29
  • Special Programs for Unique Demographics: 8.47
  • Ancillary Services: 7.74
Top-Rated, Low-Cost Treatment Centers in Seattle Metro Area
RankRehabTotal ScoreContact Information
#1Navos Mental Health Solutions6.62600 SW Holden Street Seattle, WA 98126 Main Tel: 206-933-7000 Intake Tel: 206-933-7299
#2Asian Counseling and Referral Service 6.43639 Martin Luther King Jr Way South Seattle, WA 98144 Main Tel: 206-695-7600 Intake Tel: 206-695-7506
#3Seattle Counseling Service 6.21216 Pine Street, Suite 300 Seattle, WA 98101 Main Tel: 206-323-1768
#4Therapeutic Health Services, Summit Branch5.81116 Summit Avenue Seattle, WA 98101 Main Tel: 206-323-0930
#5Kent Youth and Family Services5.4232 Second Avenue S., Suite 201 Kent, WA 98032 Main Tel: 253-859-0300
#6Sound5.26400 Southcenter Blvd, Tukwila, WA 98188 Main Tel: 206-302-2300
#7Therapeutic Health Services, Eastside Branch5.11412 140th Place NE Bellevue, WA 98007 Main Tel: 425-747-7892
#8Therapeutic Health Services, Shoreline Branch5.116715 Seattle Avenue N, Suite 102 Seattle, WA 98133 Main Tel: 206-546-9766
#9Consejo Counseling and Referral Service 4.93808 South Angeline Street Seattle, WA 98118 Main Tel: 206-461-4880
#10Sea Mar Turning Point Substance Use Disorder Treatment Center4.4113 23rd Avenue S Seattle, WA 98144 Main Tel: 206-219-5980

Finding a Substance Abuse Treatment Center in Seattle

Start by determining your coverage

Your health insurance coverage will determine the treatment options available to you. You can reach out to your healthcare marketplace insurance provider or private provider to find out what facilities are available to you. If you are low-income and otherwise qualified, Medicaid may be available to you – visit to find out if you qualify. Regardless of your insurance coverage, all insurance companies must cover substance abuse treatment for individuals in need.

Use our database to find a treatment center near you

Use our tool below, which lists all of the treatment centers in the state of Washington recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA), to find a treatment center near you. Enter your zip code and select the filter icon to find relevant rehabs near you.

Schedule an assessment

Schedule an assessment with a qualified counselor or therapist to find out what treatment will be appropriate to your substance abuse recovery as well as covered by your insurance. Assessments are usually provided by rehab centers, or you can schedule an appointment with your primary care physician for a referral to treatment. You can also reach out to companies in our above database to see if they can help provide an assessment and referrals for you.

filter button

Type Of Care
Treatment Approaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    The science of studying addiction changes constantly and emerging research provides new avenues to explore in the treatment of substance abuse all the time. However, the underlying principles and methods of substance abuse treatment are fairly consistent throughout rehab centers.


    For more on what to expect in rehab, read our guide on the addiction rehabilitation process 

    III. Finding Aftercare in Seattle

    Without aftercare after rehab, the chances of relapse increase dramatically. Research supporting the need for long-term participation in aftercare activities has fueled congressional support for outpatient and aftercare programs to treat substance abuse, and there are now many outpatient treatment and aftercare services, such as follow-up visits to the rehabilitation community, group therapy sessions, and living in a sober home.

    Alcoholics Anonymous, or AA, created the 12-step process to help people recover from alcohol abuse. Narcotics Anonymous, or NA, was later created to fill the need for this service by people using illicit drugs. Today, there are many organizations following in the same vein of AA, dedicated to providing aftercare to former addicts in their communities.


    Contact the appropriate local organization to find an AA or NA meeting near you

    You can use our directory tool below to discover organizations that can help you find your local Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings. Meeting times and locations change periodically, so it’s best to call ahead and make sure the info you find online is accurate.

    Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) Database

    NameCityProgramTelephoneSpanish Hotline
    Area 92 District 12 HotlineOmakAA(509) 826-6299N/A
    Blue Mountain Area NABlue Mountain Area (Walla Walla)NA(800) 766-3724N/A
    Central Office Of AA-Snohomish CountyEverettAA(425) 252-2525N/A
    Central Services OfficeTacomaAA(253) 474-8897N/A
    Central Washington Area NACentral Washington Area (Yakima)NA(877) 664-0398N/A
    Central Washington Central OfficeYakimaAA(509) 453-7680N/A
    Chelan & Douglas Counties Area NAChelan & Douglas Counties AreaNA(855) 552-3262N/A
    Dist. 18 24 Hour Answering ServiceWaitsburgAA(509) 522-8251N/A
    District 22 AA Answering ServicePullmanAA(208) 882-1597N/A
    District 22 Answering ServicePort AngelesAA(360) 452-4212N/A
    District 5 Answering ServiceWenatcheeAA(509) 664-6469N/A
    Eastside IntergroupBellevueAA(425) 454-9192N/A
    Everett Area NAEverett AreaNA(425) 609-6170N/A
    Grays Harbor Area NAGrays Harbor Area (Aberdeen, Hoquiam, Montesano)NA(360) 589-8620N/A
    Greater Cascade Loop Area NAGreater Cascade Loop Area (Okanogan County, Republic, Winthrop & Electric City)NA(509) 826-6371N/A
    Greater Seattle IntergroupSeattleAA(206) 587-2838N/A
    Greater Tri-City Central OfficeKennewickAA(509) 735-4086N/A
    Kelso-Long Beach 24 Hr Answering ServiceLong BeachAA(360) 642-2902N/A
    Kelso-Longview 24 Hr Answering ServiceLongviewAA(360) 423-2520N/A
    Lewis County Area NALewis County Area (Centralia, Elma)NAN/AN/A
    Lower Columbia Area NALower Columbia Area (Longview, Kelso)NA(888) 605-1250;(360) 703-0120N/A
    NE Washington Area NANE Washington Area (Pullman)NA(208) 883-5006N/A
    NE Washington Area NANE Washington Area (Spokane)NA(509) 325-5045N/A
    North Olympic Peninsula Area NANorth Olympic Peninsula Area (Port Angeles, Sequim)NA(360) 477-9367N/A
    NW Wa-Whatcom County Dist. 11 Answering ServiceBellinghamAA(360) 734-1688N/A
    NW Washington Area NANW Washington Area (Whatcom County)NA(360) 647-3234N/A
    Oficina Intergrupal Hispana DeBurienAAN/A(206) 433-3435;(206) 650-9314
    Oficina Intergrupal Hispana de A.A. del Medio EsteGrandviewAAN/A(509) 830-6723
    Pierce County Area NAPierce County Area (Tacoma)NA(253) 531-8792N/A
    SE Washington 24 Hr Answering ServiceClarkstonAA(509) 758-2821N/A
    Seattle Area NASeattle AreaNA(206) 790-8888N/A
    Sno-King IntergroupMountlake TerraceAA(425) 672-0987N/A
    South King County Area NASouth King County Area (Kent)NA(253) 872-3494N/A
    South Puget Sound Area NASouth Puget Sound Area (Olympia)NA(360) 754-4433N/A
    South Sound Service CenterTumwaterAA(360) 352-7344N/A
    Spokane Central OfficeSpokaneAA(509) 624-1442N/A
    SW Washington Area NASW Washington Area (Vancouver, Goldendale, Washougal, Camas, Woodland)NA(360) 703-0990N/A
    Tri-Cities Area NATri-Cities Area (Kennewick, Pasco, Richland)NA(877) 861-4885;(509) 546-8244N/A
    Vancouver Area IntergroupVancouverAA(360) 694-3870N/A
    West Puget Sound Area NAWest Puget Sound AreaNA(877) 861-6156N/A

    Sober Living Homes

    Sober living homes, also known as recovery residences, are houses for those recovering from substance abuse. They encourage independence, a dedication to healing, and have strict no-tolerance drug and alcohol policies. Helping addicts evolve into fully functional members of society requires rehabilitation and extensive aftercare efforts since re-learning is often required to facilitate a healthy lifestyle after recovering from substance abuse. Research shows that incentivizing productivity in sober living and cultivating skills is essential to building healthy relationships, and establishing stable employment is vital to long-term success after drug abuse.

    Sober living homes expect residents to care for themselves and their rooms, pay rent, and assist in community chores, as well as participate in house meetings. Each house has different support groups, but the houses typically carry their own unique philosophy regarding the daily lifestyle and services offered. For example, some houses cater to LGBTQ+ community members, while others are designed for families with small children. Other homes might be designed to support trauma victims, or those escaping domestic violence, and provide appropriate therapies to help those individuals. Be sure to investigate what demographics and services are provided in any facility you intend to visit.

    Please check out our list of halfway houses and sober homes in Seattle, or you can select the appropriate filter from our database tool above. You can also read our guide on sober living homes to learn more about the style of recovery provided, what life in sober living homes looks like, and if it would be a good fit for your lifestyle.

    IV. Substance Abuse in Seattle

    Methamphetamine and heroin are responsible for the most overdose deaths in King County

    The June 1017 DEA Bulletin from the Seattle Field Division noted several alarming statistics about the prevalence of methamphetamines and heroin in King County. First, the Bulletin explained that, while heroin has always been responsible for a high number of drug overdose deaths, it became the drug most associated with overdose deaths in 2014, surpassing pharmaceutical opioids for the first time in over ten years.

    Furthermore, while heroin-related deaths decreased in 2016, they still accounted for one-third of all overdose deaths in King County, and even 63% of opioid-related overdose deaths in the county were the result of opium derivatives, such as heroin and morphine. In 2017, the percentage of overdose deaths due to heroin in King County rose to 45%, again making it the leading cause of overdose deaths.

    Additionally, the Bulletin reported that an increasing number of overdose deaths are due to users combining heroin and methamphetamine. In the first quarter of 2017, 12% of all overdose deaths were attributed to this lethal combination, while overdose deaths from methamphetamine alone rose 119% from 2014 to 2018, according to the King County Medical Examiner’s Office. Perhaps most concerning, these drugs have attained an increased level of toxicity in recent years as they are more frequently laced with fentanyl and other synthetic drugs. In fact, overdose deaths due solely to fentanyl skyrocketed a whopping 1,200% between 2014 and 2018, demonstrating the lethal nature of the drug.

    Number of Overdose Deaths by Drug Type in King County, 2014-2018
    MethHeroinCocaineRx OpioidFentanyl
    Increase in Overdose Deaths119%3.3%8.9%-2.9%1,200%

    Seattle’s death rate due to drug and alcohol overdose is higher than the national average


    of King County deaths between 2008 and 2017 are caused by drugs and alcohol


    of US deaths between 2008 and 2017 are caused by drugs and alcohol

    Between 2008 and 2017, the national percentage of deaths caused by drugs and alcohol was 12.71%, but the percentage in King County was much higher, with over 16.05% of deaths being attributed to drugs and alcohol. This percentage equates to 23,637 deaths during that time frame.

    Drug and Alcohol-Induced Deaths in King County Between 2008 and 2017
    Ages: 0-17Ages: 18+All Ages
    Drug-induced Deaths in King County2119,33019,351
    Alcohol-induced Deaths in King County34,2834,286
    Total Deaths in King County1,556145,709147,266
    Percentage of Drug & Alcohol-induced Deaths in King County1.54%16.21%16.05%

    Source: CDC Wonder

    Key Indicators of Substance Abuse

    When seeking to determine the overall effects of substance abuse on a community, researchers look for “key indicators” to combine with usage statistics and other data points. Through this data collection, we can gain insight as to the trends forming regarding what populations are at risk of substance abuse and what substances are the most dangerous.

    The suicide rate is lower in King County than in Washington but substance abuse remains a factor

    Substance abuse and mental illness often go hand-in-hand – in 2017, about 8.5 million people in the United States suffered from both a mental illness and a substance abuse disorder at the same time, which equates to about 3.4% of the overall population. In 2017, 12% of the deaths investigated by the King County Medical Examiner’s Office were ruled a suicide, and blood alcohol tests administered post-mortem were deemed positive in 28% of those cases.


    increase in suicides between 2010 and 2014 in King County


    increase in suicides between 2010 and 2014 in Washington

    King County experienced 12.1 suicides out of 100,000 residents in 2014, an increase from 11.23 out of 100,000 residents in 2010. In comparison, the number in Washington rose from 14.2 to 15.78 per 100,000. The overall suicide rate for the United States during that time period fell in the middle, rising from 12.41 to 13.39 per 100,000.

    The homeless population in Seattle is experiencing sustained substance abuse


    of Seattle’s homeless in 2019 report a current substance abuse disorder


    of Seattle’s homeless in 2019 report that substance abuse led to homelessness

    While the number of homeless persons in Seattle has seen a slight decrease between 2017 and 2019, the percentage of homeless persons who report using drugs and alcohol has remained relatively steady, from 36% in 2017 to 32% in 2019. Those persons indicating that substance abuse was the factor that led to their homelessness has dropped a bit more but still remains at 16% of the total number of homeless persons in 2019.

    YearTotal Homeless PopulationUnshelteredPercentage Reported Substance Abuse Led to HomelessnessPercentage Reported Current Substance Abuse
    Percent Change -3.8%-4.0%-20%-11%

    V. Take Action

    Seattle has many agencies and programs for those seeking to break free from substance abuse. You can use our tool to determine your treatment needs, as well as potential insurance coverage. If you are unable to afford rehab or don’t have insurance, there are a myriad of low-cost treatment and counseling centers dedicated to helping those low-income residents who need help.