Drug and Alcohol Rehab Centers in Hurley, VA
This page brings together drug and alcohol addiction treatment providers in Hurley, including nearby Big Rock, Grundy, Vansant, Breaks, and Haysi. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists serving the area.
Providers listed for Hurley, including services reaching Jewell Ridge, Raven, and Doran, are reviewed against the Virginia Department of Behavioral Health and Developmental Services, SAMHSA, The Joint Commission, and CARF International. Compare levels of care, insurance accepted and location, then get in touch with a program directly.
1 Drug and Alcohol Rehab Treatment Centers in Hurley, VA
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Drug and Alcohol Rehabs in Hurley, VA
Hurley sits in the far north of Buchanan County near the West Virginia and Kentucky lines, in some of the most rugged country in Virginia.
The community was hit by a catastrophic flash flood in August 2021 that destroyed dozens of homes and killed one person, and the recovery has been slow.
Coal built what economy exists here, and the mines that remain employ a fraction of what they once did.
Buchanan County recorded 12 drug overdose deaths in the twelve months to December 2025 on provisional CDC counts, with earlier figures suppressed under small-count disclosure rules.
Twelve deaths in a county of around 19,000 is a high rate, and this region was hit as hard as anywhere in the United States by the prescription opioid epidemic.
The treatment picture is close to empty. Two facilities sit within twelve miles of Hurley, both outpatient, and neither offers medication-assisted treatment.
Widening to thirty miles reaches eight facilities with one bed, and no detox and no maintenance treatment anywhere in that radius.
Cumberland Mountain Community Services covers Buchanan alongside Russell and Tazewell across a wide mountain area.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Hurley, Grundy and Vansant.
Medically Supervised Detox
Where dependence is physical, treatment opens with detox: several days of withdrawal managed under clinical supervision. Nothing within thirty miles of Hurley indicates detox provision. Stopping alcohol or benzodiazepines abruptly can be medically dangerous, so this step needs arranging through a hospital or a licensed provider rather than attempted at home, and from here that means a drive of well over an hour.
Inpatient Residential Treatment
Residential treatment is a live-in stay of a month or more, suiting people whose home circumstances make stopping difficult. Nothing within twelve miles indicates residential provision, and around one does within thirty. Hurley sits at the northern end of the county, further from Grundy’s services than most of Buchanan, so every figure here means a longer journey than the mileage suggests.
Outpatient, IOP and PHP Treatment
A licensed assessment in Virginia should map you to a specific ASAM level, and because ARTS funds each of them, coverage is rarely the reason a level is unavailable. Around two providers within twelve miles offer outpatient services, with no intensive outpatient and no medication-assisted treatment anywhere within thirty miles. Raising buprenorphine with a family doctor is frequently the quickest route to a maintenance plan in country this remote.
Dual Diagnosis and Co-Occurring Disorders Treatment
When an addiction and a mental health condition occur together, integrated treatment tackles them simultaneously rather than queueing one behind the other. Around two providers within twelve miles of Hurley indicate this work, rising to about eight within thirty. Anyone still dealing with the aftermath of the 2021 flood should know that trauma alongside an addiction is treated together rather than in sequence, and it is worth naming at assessment.
Sober Living Homes and Transitional Living
Sober living homes are shared, substance-free houses people move into after a program finishes, and this directory covers treatment rather than housing. The Virginia Association of Recovery Residences holds the state register on behalf of the National Alliance for Recovery Residences. No operator has to certify, which is exactly why the question is worth putting, especially where a house and a program share ownership. Housing here was already scarce and the 2021 flood destroyed a substantial part of what existed.
Addiction Treatment Cost and Insurance Coverage in Hurley, VA
Southwest Virginia prices well below the state average, and in country this remote transport is frequently a far larger obstacle than cost.
How Much Does Addiction Rehab Cost?
Standard outpatient care in Hurley costs roughly $1,400 to $5,600 a month and is the only level available locally. Residential treatment at $6,800 to $28,000 a month, intensive outpatient at $2,900 to $9,800 a month and medical detox at $1,700 to $5,400 a week all mean leaving the region entirely.
Distance rather than cost is what defeats most plans made from here, so establish what transport assistance the board can arrange and whether any sessions run by video before ruling an option out.
| 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. Most households here rely on Cardinal Care or Medicare rather than employer cover.
A plan covering treatment is not a plan approving it. Prior authorization is near-universal before detox and residential care, and in-network or out-of-network usually decides the bill. Hurley sits closer to West Virginia and Kentucky than to most of Virginia, but Cardinal Care stops at the state line, so the nearer program is routinely the costlier one.
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 Hurley, 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.
Cumberland Mountain CSB is the community services board for Buchanan 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
The nearest hospital is Buchanan General at Grundy, itself a substantial drive from northern Buchanan, with Bristol and Kingsport considerably further again.
Alcoholics Anonymous meets in the communities across northern Buchanan County, and in country this mountainous those rooms are frequently the only ongoing support within reach. Narcotics Anonymous operates a southwest area, and Celebrate Recovery meets in churches locally. Nearby Grundy, Vansant and Oakwood carry further listings, with more across Virginia.
Free and confidential, available now
Cumberland Mountain CSB — 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, Buchanan 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.
- Cumberland Mountain CSB — service area and access arrangements.
- Rehab Seekers directory listings, Hurley and Buchanan County, August 2026, and market rate research, Virginia, 2026. Ranges are indicative and vary by facility, length of stay and coverage.