Texas · Opioid treatment programs
Methadone Clinics in San Antonio, TX
San Antonio, TX residents have several options for methadone treatment within the city. There are 8 certified opioid treatment programs within 25 miles of the city. The closest methadone clinic is 0.8 miles away, making regular visits for dosing and counseling convenient. Use this page to learn more about medication-assisted treatment options in the area.
Clinics by distance from San Antonio
Straight-line miles from the city center. Numbers match the list and cards below.
- 1Center for Healthcare Services0.8 mi
- 2Center for Healthcare Services0.9 mi
- 3Metro Treatment of Texas LP2.8 mi
- 4River City Rehabilitation Center Inc3.7 mi
- 5Metro Treatment of Texas LP5.1 mi
- 6Texas Treatment Services LLC5.2 mi
- 7Community Medical Services7.2 mi
- 8Brookdale Alliance7.6 mi
- Center
- San Antonio city center (Census point)
- Rings
- Straight-line distance, not drive time
- Pins
- Programs, numbered nearest first
Treatment programs near San Antonio
8 listed within 25 miles. Services and payment are shown only where confirmed.
-
1 0.8 miles
Certified opioid treatment program
Center for Healthcare Services
601 North Frio Street, Building 2, 2nd Floor
San Antonio, TX 78207- Buprenorphine
- Medicaid
- Medicare
- Sliding scale
- Cash / self-pay
-
2 0.9 miles
Certified opioid treatment program
Center for Healthcare Services
601 North Frio Street, Building 1
San Antonio, TX 78207- Buprenorphine
- Naltrexone
- Medicaid
- Medicare
- Sliding scale
- Cash / self-pay
-
3 2.8 miles
Certified opioid treatment program
Metro Treatment of Texas LP
3701 West Commerce Street
San Antonio, TX 78207- Methadone
- Buprenorphine
- Medicaid
- Medicare
- Cash / self-pay
-
4 3.7 miles
Certified opioid treatment program
River City Rehabilitation Center Inc
680 Stonewall Street
San Antonio, TX 78214- Methadone
- Buprenorphine
- Naltrexone
- Medicaid
- Medicare
- Cash / self-pay
-
5 5.1 miles
Certified opioid treatment program
Metro Treatment of Texas LP
3615 Culebra Road
San Antonio, TX 78228- Methadone
- Buprenorphine
- Medicaid
- Medicare
- Cash / self-pay
-
6 5.2 miles
Certified opioid treatment program
Texas Treatment Services LLC
571 Spencer Lane, Suite 101
San Antonio, TX 78201- Methadone
- Buprenorphine
- Medicaid
- Medicare
- Cash / self-pay
-
7 7.2 miles
Certified opioid treatment program
Community Medical Services
437 McCarty Road, Suite 600
San Antonio, TX 78216- Methadone
- Buprenorphine
- Naltrexone
- Medicaid
- Medicare
- Cash / self-pay
-
8 7.6 miles
Certified opioid treatment program
Brookdale Alliance
8500 Village Drive, Suite 102
San Antonio, TX 78217- Methadone
- Buprenorphine
- Cash / self-pay
Not sure which program fits?
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At a glance
- programs within 25 mi
- 8
- to the nearest program
- 0.8 mi
- confirm Medicaid
- 7
- also offer buprenorphine
- 8
- people in San Antonio
- 1,434,625
- county overdose deaths, 12 months to March 2026
- 335
What methadone treatment is
Because methadone affects the same brain systems as other opioids, dosing must be individualized and supervised by medical professionals. Starting doses are deliberately low and raised gradually based on each patient's response. This careful titration is a safety feature built into every licensed program in San Antonio, and similar protocols apply at opioid treatment programs throughout Texas.
Your first visit
Starting at a methadone clinic in San Antonio begins with an orientation and medical assessment. The intake process verifies identity, reviews health history, and screens for factors that could affect treatment. A doctor typically determines the initial dose after reviewing the evaluation. Patients should treat this first appointment as an important step and arrive with time set aside for it.
Paying for methadone in Texas
Paying for treatment usually starts with a conversation at the clinic. Staff can explain what the fees cover, which insurance plans they accept, and whether financial help is available. Because Texas has not adopted Medicaid expansion, eligibility for public coverage varies. People in San Antonio should ask about all options before their first visit.
Take-home doses
A clinic's practitioner weighs the benefits and risks before allowing medication to leave the premises. Considerations include whether the patient attends regularly, avoids substance use and behavioral problems, has not diverted medication recently, and can store doses safely at home. Policies vary between programs, so patients should confirm how each clinic applies the federal rule.
Choosing a clinic
Take-home dosing follows a schedule set by federal regulations and the clinic's medical director. Patients who remain stable in treatment may gradually earn more take-home doses. Policies differ between clinics, so ask about the criteria used in San Antonio.
Questions to ask a clinic
- Can I transfer my treatment from another clinic?
- How long does the intake process usually take?
- Do you treat pregnant patients in your program?
- Are there waitlists to start treatment right now?
- Do you provide mental health screening and referrals?
- What are your clinic hours each day?
Methadone, buprenorphine and naltrexone compared
All three are FDA-approved medications for opioid use disorder. A clinician helps decide which fits.
| Medication | How it is taken | Where you get it | Daily clinic visits | Who prescribes |
|---|---|---|---|---|
| Methadone | Liquid, tablet or dissolvable wafer by mouth, once a day | Only at a certified opioid treatment program | Usually yes at first; federal rules allow take-home doses from early in treatment at the clinic's discretion | The program's medical staff, under federal treatment program rules |
| Buprenorphine | Film or tablet under the tongue daily, or a weekly or monthly injection | A pharmacy with a prescription, a doctor's office, or a treatment program | Usually no | Any clinician whose DEA registration covers Schedule III medications |
| Naltrexone | Monthly injection (extended-release) or a daily tablet | Injection at a clinic or doctor's office; tablets from a pharmacy | No; you must be off opioids for 7 to 10 days before starting | Any licensed prescriber |
Treatment in Texas
- certified programs listed in Texas
- 85
- of them confirm Medicaid
- 78%
Places with the most programs nearby
- Euless, TX19 programs
- Addison, TX15 programs
- Cedar Hill, TX14 programs
- Haslet, TX13 programs
- Humble, TX12 programs
Questions about methadone clinics near San Antonio
How many methadone treatment programs are near San Antonio, TX?
8 certified opioid treatment programs are listed within 25 miles of San Antonio, TX; 6 confirm they offer methadone.
Which methadone clinic is closest to San Antonio?
Center for Healthcare Services is the closest listed clinic, 0.8 miles from San Antonio by straight-line distance.
Do methadone clinics near San Antonio accept Medicaid?
7 listed clinics within 25 miles have confirmed Medicaid acceptance. Contact a clinic to check current coverage.
Do methadone clinics near San Antonio also offer buprenorphine?
8 listed clinics within 25 miles have confirmed buprenorphine services.
Is there a methadone clinic in San Antonio itself?
Yes. At least one clinic shown has a listed address in San Antonio.