Drug and Alcohol Rehab Centers in Longview, WA
Drug and alcohol treatment providers serving Longview, Washington are listed on this page, alongside those covering nearby Kelso, Castle Rock and Cathlamet. Scroll down to see which levels of care each one runs, what insurance it takes and how to make contact.
Records for Longview are reviewed against the Washington State Health Care Authority, SAMHSA, The Joint Commission and CARF International. Washington expanded Medicaid in 2014, and that shapes which route into treatment is realistic.
16 Drug and Alcohol Rehab Treatment Centers in Longview, WA
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Drug and Alcohol Rehabs in Longview, Washington
Longview sits on the Columbia River in Cowlitz County, with around 38,000 residents.
The city was built as a planned company town by a lumber corporation in the 1920s.
Portland is around an hour south.
Cowlitz County recorded 54 drug overdose deaths in the twelve months to December 2025 on provisional CDC counts, against 31 four years earlier, a rise of 74 percent.
While overdose deaths dropped sharply nationally, they climbed here, and that divergence is worth taking seriously.
Washington covers around 1.9 million people through Apple Health, and the state’s uninsured rate is near 6 percent.
Unlike most of the United States, Washington has not seen overdose deaths fall since 2021. They have risen across almost every county, reflecting the later arrival of fentanyl on the West Coast.
Neighboring Kelso, Castle Rock and Cathlamet carry their own listings, with the wider picture across Washington.
Which Level of Care Do You Need
The figures below cover providers listed in Longview and the surrounding parts of Cowlitz County. Portland and Olympia are both within reach. Find out whether someone can be seen while still drinking or using. Check whether there is any cost beyond what insurance covers, and get that in writing. Find out how the program handles someone who has been through treatment before.
Medically Supervised Detox
Withdrawal management under medical supervision usually takes three to seven days. PeaceHealth St. John Medical Center serves the city and surrounding county. Risk peaks in the opening seventy-two hours for alcohol and benzodiazepine withdrawal.
Inpatient Residential Treatment
Residential treatment involves living on site for a defined period, usually thirty, sixty or ninety days. Cowlitz County holds moderate residential capacity, and Longview carries most of it.
Outpatient, IOP and PHP Treatment
Washington providers hold state licenses covering specific services, worth checking against what is being recommended. Ask whether a program prescribes or accepts medication for opioid use disorder, since all three medications are available in Washington but not every provider uses them.
Dual Diagnosis and Co-Occurring Disorders Treatment
Treating an addiction alongside a mental health condition, rather than sequentially, is what dual diagnosis means. The regional behavioral health organization covering Cowlitz County handles crisis provision and care outside Medicaid.
Sober Living Homes and Transitional Living
After treatment, sober living offers a shared substance-free place to stay while things settle. Washington providers hold state licenses covering specific services, worth checking against what is being recommended. Washington licenses substance use disorder treatment agencies through the Department of Health, and licensing is specific to the services offered. A provider should be able to say what it is licensed for, and that is worth matching against what has been recommended.
Addiction Treatment Cost and Insurance Coverage in Longview
Longview household incomes sit well below the state median, and the decline of the timber industry has left lasting effects. Longview carries one of the larger concentrations of listed providers in Washington, which makes genuine comparison possible rather than theoretical. Cowlitz County deaths have risen sharply over four years, among the steeper increases in Washington. A vague answer about availability usually conceals a longer wait, so ask for specifics.
How Much Does Addiction Rehab Cost?
State figures run $1,650 to $5,400 weekly for medical detox, $6,800 to $27,000 monthly residential, and between $1,400 and $15,000 a month for the outpatient levels.
Cowlitz County deaths rose 74 percent over four years, from 31 to 54, among the steeper increases in Washington.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $4,900 per week | $220 – $700 |
| Residential inpatient | $6,000 – $25,000 | $200 – $830 |
| PHP | $7,000 – $13,500 | $230 – $450 |
| IOP | $2,500 – $9,000 | $80 – $300 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $17,000 – $50,000+ | $560 – $1,650+ |
| PHP | $14,000 – $32,000 | $470 – $1,070 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
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. Medicaid covers a large share of this city. Employer plans are common in manufacturing and healthcare.
Coverage and approval are separate steps. Prior authorization is standard before detox and residential admission, and network status usually decides your share of the bill. Oregon is minutes south, but Washington Medicaid does not cross the state line and neither do most provider networks.
Free and State-Funded Addiction Rehab in Longview
Washington covers around 1.9 million people through Apple Health, and the state’s uninsured rate is near 6 percent. The depth of provision here rewards comparison rather than taking the first program that answers.
Unlike most of the United States, Washington has not seen overdose deaths fall since 2021. They have risen across almost every county, reflecting the later arrival of fentanyl on the West Coast. The behavioral health organization serving Cowlitz County covers crisis response and people outside Medicaid. Ask what the program does about housing at the end, because that gap is where progress is often lost. Ask whether a peer counselor is part of the program. Ask whether childcare is available or arranged, since its absence rules out a lot of people.
Possession is a gross misdemeanor in Washington with a statutory push toward diversion, following the 2021 Blake decision. That change came with a practical mechanism. The Recovery Navigator Program operates statewide through regional behavioral health organizations, providing outreach, assessment and connection to treatment for anyone with a substance use disorder, whether or not police are involved. It is a genuine route in and does not require insurance.
Washington providers hold state licenses covering specific services, worth checking against what is being recommended. Medication for opioid use disorder is provided across the state through opioid treatment programs and office-based prescribers, though provision between programs varies.
The state supplies naloxone free and without prescription, with distribution through local organizations and a mail option. Both caller and casualty are protected from possession charges under Washington’s Good Samaritan law.
Registration is mandatory for Washington recovery residences receiving state referrals, though many houses operate privately without it. A vague answer about availability usually conceals a longer wait, so ask for specifics.
Tribal health services in Washington include substance use treatment and operate independently of the regional structure. The state certifies peer counselors and funds recovery cafes and clubhouses, which offer support outside clinical settings.
Settlement money in Washington runs through a state abatement account and direct local allocations.
More Help and Recovery Support
PeaceHealth St. John serves the area, with Level I trauma care in Portland and Seattle.
Kelso, Castle Rock and Cathlamet carry further listings, with more across Washington.
Free and confidential, available now
Washington Recovery Help Line — 1-866-789-1511, free, confidential and 24 hours a day 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- Washington State Health Care Authority — Apple Health coverage, the Recovery Navigator Program and regional behavioral health organizations.
- Washington State Department of Health — treatment agency licensing and the statewide naloxone standing order.
- Washington State Opioid and Overdose Response Plan — settlement fund administration and the Tribal Opioid and Fentanyl Response Taskforce.
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Rehab Seekers directory listings, Longview and Longview, August 2026, and market rate research, Washington, 2026. Ranges are indicative and vary by facility, length of stay and coverage.