Drug and Alcohol Rehab Centers in Abingdon, VA
Drug and alcohol addiction treatment providers serving Abingdon are listed on this page, including nearby communities such as Meadowview, Emory, Damascus, Bristol, and Glade Spring. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists in the area.
The Abingdon addiction treatment centers listed below, including facilities serving Lebanon, Saltville, and Allison Gap, are reviewed against bodies such as the Virginia Department of Behavioral Health and Developmental Services, SAMHSA, The Joint Commission, and CARF International. Compare programs, levels of care and payment options, then contact any provider directly.

3 Drug and Alcohol Rehab Treatment Centers in Abingdon, VA
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Drug and Alcohol Rehabs in Abingdon, VA
Abingdon sits in the far southwest of Virginia, and the Barter Theater here has operated since 1933, when Robert Porterfield let audiences pay in produce during the Depression. It is now the State Theater of Virginia.
The Virginia Creeper Trail runs from the town up into the mountains along an old railway grade, and the historic district covers twenty blocks.
Washington County surrounds Bristol and sits at the heart of a region hit as hard as anywhere in the United States by the prescription opioid epidemic.
Washington County has recorded a decline in overdose deaths, from 19 in the twelve months to December 2021 to 12 in the twelve months to December 2025 on provisional CDC counts, a fall of 37 percent.
That improvement is shallower than the statewide drop of 50 percent.
The treatment picture needs stating plainly. Around four facilities sit within twelve miles of Abingdon, all outpatient, and none offers medication-assisted treatment.
Widening to thirty miles reaches twelve facilities with two beds, and still one detox provider and no maintenance treatment across that radius.
The complete absence of a medication option across this catchment is the most consequential fact on this page, because it is the treatment with the strongest evidence for opioid dependence.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Downtown Abingdon, Bristol and Lebanon.
Medically Supervised Detox
Detox is the supervised management of withdrawal, running roughly three to ten days depending on the substance, and it precedes everything else where the body has become dependent. Around one facility within thirty miles of Abingdon indicates detox provision, though none sits within twelve. A single option makes waiting times the first question rather than the last. Alcohol withdrawal carries its highest risk in the first seventy-two hours, so overnight medical cover is a fair question to put before admission.
Inpatient Residential Treatment
A residential stay means relocating into the program for thirty, sixty or ninety days rather than attending it. Nothing within twelve miles indicates residential provision, and around two do within thirty. In a region carrying this much need, out-of-area placement is the realistic expectation and Highlands Community Services arranges it routinely.
Outpatient, IOP and PHP Treatment
Placement in Virginia works to American Society of Addiction Medicine criteria and ARTS funds the whole continuum, so ask which ASAM level an assessment put you at and check the program actually delivers it. Around four providers within twelve miles offer outpatient services and one indicates partial hospitalization, with no intensive outpatient and no medication-assisted treatment anywhere in the catchment. Ask a prescriber about buprenorphine directly rather than assuming a clinic visit is required, since any DEA-registered provider can now prescribe it and none appears in the local listings.
Dual Diagnosis and Co-Occurring Disorders Treatment
Around half of people with a substance use disorder also have a diagnosable mental health condition, and treating one while leaving the other alone rarely holds. Around four providers within twelve miles of Abingdon indicate this work, rising to about twelve within thirty. Chronic pain from mining, farming and manual work is the classic route into opioids across this region, and anyone whose use began with a prescription should say so at assessment.
Sober Living Homes and Transitional Living
Transitional and sober living housing sits outside this directory. Standards in Virginia come through the Virginia Association of Recovery Residences, the state’s National Alliance for Recovery Residences affiliate. No operator has to certify, which is exactly why the question is worth putting, especially where a house and a program share ownership. Housing costs in Washington County are among the lowest in Virginia, which makes recovery housing more achievable than the provision figures suggest.
Addiction Treatment Cost and Insurance Coverage in Abingdon, VA
Southwest Virginia prices well below the state average, and with ARTS covering the full continuum the publicly funded route carries most of the load here.
How Much Does Addiction Rehab Cost?
Standard outpatient care in Abingdon costs roughly $1,400 to $5,600 a month and is the level the county carries, alongside partial hospitalization at $7,800 to $15,000 a month. Residential treatment at $6,800 to $28,000 a month and medical detox at $1,700 to $5,400 a week both mean leaving the region.
Tennessee begins a few miles south and Kingsport and Johnson City hold considerably more capacity, but Virginia Medicaid and ARTS do not pay for out-of-state care, so a program across the line is frequently the more expensive one.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,700 – $5,400 per week | $240 – $770 |
| Residential inpatient | $6,800 – $28,000 | $225 – $930 |
| PHP | $7,800 – $15,000 | $260 – $500 |
| IOP | $2,900 – $9,800 | $95 – $325 |
| Outpatient | $1,400 – $5,600 | $45 – $185 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $19,000 – $55,000+ | $630 – $1,830 |
| PHP | $15,000 – $34,000 | $500 – $1,130 |
| IOP | $10,500 – $26,000 | $350 – $865 |
| Outpatient | $5,400 – $17,000 | $180 – $565 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Cardinal Care and Medicare reach a larger share of this population than employer plans do.
Being covered and being approved are different things. Expect prior authorization ahead of any detox or residential admission, and expect network status to settle what you actually pay. Because no medication-assisted treatment appears in the local listings, raising buprenorphine with a family doctor is frequently the quickest route to it in this region.
Virginia Medicaid runs as Cardinal Care, delivered through managed care plans including Aetna Better Health, Anthem HealthKeepers Plus, Molina, Sentara Community Plan and UnitedHealthcare Community Plan. Which plan you hold decides which programs are in network, so give the plan name rather than simply saying you have Medicaid.
Free and State-Funded Addiction Rehab in Abingdon, VA
Virginia covers addiction treatment through Medicaid more fully than most states. The Addiction and Recovery Treatment Services benefit, introduced in 2017, pays for the whole ASAM continuum including inpatient detox and residential care, which many state Medicaid programs still will not fund. Virginia also expanded Medicaid in 2019, so a single adult earning up to roughly $21,600 a year generally qualifies regardless of whether they have children or a disability. If cost is the reason you have not called anyone, that is the first thing worth checking.
Highlands Community Services is the community services board for Washington County, and community services boards are the front door to Virginia’s public behavioral health system. They assess, treat and refer regardless of ability to pay, and under STEP-VA every board in the Commonwealth is required to deliver a defined set of services including same-day access to an initial assessment. That means you can generally be seen quickly without a referral, which is worth knowing before ringing round private programs.
More Help and Recovery Support
Johnston Memorial Hospital in Abingdon is the main acute hospital for the Virginia side of the Tri-Cities region, with the Bristol and Kingsport hospitals a short drive south.
Alcoholics Anonymous meets across Washington County and into the Tri-Cities through the week, and in country this mountainous those rooms are frequently the nearest ongoing support available. Narcotics Anonymous operates a southwest area, and Celebrate Recovery meets widely. Nearby Bristol, Lebanon and Marion carry further listings, with more across Virginia.
Free and confidential, available now
Highlands Community Services — same-day access assessment 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, Washington County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Virginia Department of Medical Assistance Services — Addiction and Recovery Treatment Services (ARTS) benefit and ASAM levels of care.
- Virginia Department of Behavioral Health and Developmental Services — community services board network, provider licensing and STEP-VA same-day access.
- Highlands Community Services — service area and access arrangements.
- Rehab Seekers directory listings, Abingdon and Washington County, August 2026, and market rate research, Virginia, 2026. Ranges are indicative and vary by facility, length of stay and coverage.