San Antonio, Texas
Methadone clinics in San Antonio
Cima Find Care lists 7 methadone clinics (opioid treatment programs) in San Antonio, at 8 locations: 5 list methadone on FindTreatment.gov and 2 are registered as methadone clinics on the NPI registry. 4 of them accept Medicaid and 4 accept private insurance.
From SAMHSA's FindTreatment.gov, the NPI registry and program websites, as of 2026-10-27. Not medical advice; call the program to check openings and cost.
The 7 methadone clinics (opioid treatment programs)
| Program | Where | Medications on the record | Pays | Phone |
|---|---|---|---|---|
| Metro Treatment of Texas LP 2 locations | 3701 West Commerce Street, San Antonio 78207 | Methadone, Buprenorphine without naloxone | Medicaid · Medicare | (210) 434-0531 |
| Community Medical Services | 437 McCarty Road, Suite 600, San Antonio 78216 | Methadone, Buprenorphine with naloxone, Buprenorphine without naloxone, Naltrexone (oral), Naltrexone (extended-release, injectable) | Medicaid · Cigna | (210) 314-1934 |
| River City Rehabilitation Center Inc | 680 Stonewall Street, San Antonio 78214 | Disulfiram, Methadone, Buprenorphine with naloxone, Buprenorphine without naloxone, Naltrexone (oral) | Medicaid · Aetna, Ambetter, Cigna +5 more | (210) 924-7547 |
| Texas Treatment Services LLC | 571 Spencer Lane, Suite 101, San Antonio 78201 | Methadone, Buprenorphine with naloxone | Medicaid · Private insurance | (210) 736-4405 |
| Brookdale Alliance Licensed by Texas HHSC, license 4811 | 8500 Village Drive, Suite 102, San Antonio 78217 | Methadone, Buprenorphine without naloxone | Not on the record | (210) 257-0800 |
| Bexar County Board Of Trustees For Mental Health Mental Retardation Licensed by Texas HHSC, license 216 | 6800 Park Ten Blvd, Suite 200-S, San Antonio 78213 | Methadone clinic (provider type on the NPI registry) | Not on the record | (210) 261-1000 |
| Tejas Recovery And Counseling Services, Inc. | 7418 Military Dr W, San Antonio 78227 | Methadone clinic (provider type on the NPI registry) | Not on the record | (210) 673-8111 |
Programs with the fullest public record come first. Medications are as listed on FindTreatment.gov; a methadone clinic's provider type is from the NPI registry. "Licensed by Texas HHSC" means the program matched HHSC's list of licensed chemical dependency treatment facilities, checked Oct. 27, 2026; a program without it may be licensed under another name or address.
About methadone
Methadone is a long-acting opioid medicine that the FDA approves for opioid use disorder. For that use it's given only at opioid treatment programs (OTPs), clinics certified by SAMHSA under federal rules (42 CFR Part 8), along with counseling. Early in treatment most doses are taken at the clinic; the rules allow more take-home doses as treatment goes on. Medicare has paid for treatment at OTPs since 2020.
Sources: FDA: information about medications for opioid use disorder · SAMHSA: opioid treatment programs · CMS: Medicare and opioid treatment programs.
Every program offering medication for addiction, any medicine: Medication-assisted treatment (MAT) in San Antonio.
Questions
How many methadone clinics (opioid treatment programs) are in San Antonio?
Cima Find Care lists 7, at 8 locations: Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc, Texas Treatment Services LLC, Brookdale Alliance and 2 more. Each one's page has its phone number, address, levels of care and the insurance on its record.
Which methadone clinics (opioid treatment programs) in San Antonio take Medicaid?
4 list Medicaid: Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and Texas Treatment Services LLC. The full list is on the Methadone clinics in San Antonio that take Medicaid page.
Are there methadone clinics (opioid treatment programs) in San Antonio with services in Spanish?
4 list services in Spanish: Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and Texas Treatment Services LLC.
Do any offer telehealth?
1 lists telehealth on their record: Metro Treatment of Texas LP. Ask which parts of the program can be done by video.
Do the methadone clinics in San Antonio also offer buprenorphine or naltrexone?
5 also list buprenorphine (Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and 2 more) and 2 list naltrexone. Records from the NPI registry don't list medications, so ask the clinic.
How do I start at a methadone clinic?
Call the clinic and ask when it does intakes, what to bring, whether it takes your insurance, and what treatment costs without insurance. A clinic only gives methadone for opioid use disorder after an assessment by its own medical staff.
What is a methadone clinic?
Methadone is a long-acting opioid medicine that the FDA approves for opioid use disorder. For that use it's given only at opioid treatment programs (OTPs), clinics certified by SAMHSA under federal rules (42 CFR Part 8), along with counseling. Early in treatment most doses are taken at the clinic; the rules allow more take-home doses as treatment goes on. Medicare has paid for treatment at OTPs since 2020.
How do I check whether my insurance covers a program?
Call the number on your insurance card and ask whether the program is in network for substance use treatment, whether you need prior authorization, and what you'll pay a day. Then confirm with the program's admissions team.
How current is this list?
It's built from SAMHSA's FindTreatment.gov, the federal NPI registry and the programs' own websites, as of 2026-10-27. Cima has not called these programs to confirm openings, fees or insurance. Programs can claim their listing to correct it.
What if I need help right now?
In an emergency, call 911. In a mental health or substance use crisis, call or text 988, any time. SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open all day, every day, and can refer you to treatment.
More in San Antonio
Methadone clinics in San Antonio that take Medicaid
Detox in San Antonio · Residential rehab in San Antonio · Partial hospitalization (PHP) in San Antonio · Intensive outpatient (IOP) in San Antonio · Outpatient rehab in San Antonio · Medication-assisted treatment (MAT) in San Antonio · Suboxone and buprenorphine programs in San Antonio · Vivitrol (naltrexone injection) programs in San Antonio · Addiction treatment for veterans in San Antonio · Addiction treatment for women in San Antonio · Addiction treatment for pregnant and postpartum women in San Antonio · Addiction treatment for men in San Antonio · Addiction treatment for young adults in San Antonio · Addiction treatment for older adults in San Antonio · Addiction treatment for people in the justice system in San Antonio · Dual diagnosis (co-occurring) treatment in San Antonio · Spanish-speaking addiction treatment in San Antonio
Elsewhere: Methadone clinics in Texas · Methadone clinics in Arlington · Methadone clinics in Austin · Methadone clinics in Dallas · Methadone clinics in Fort Worth · Methadone clinics in Houston