Substance use treatment in the US is delivered through state-licensed providers, mutual-aid programs (AA, NA, SMART Recovery, Women for Sobriety), hospital detox, methadone clinics, and sober living. SAMHSA's National Helpline (1-800-662-HELP) and findtreatment.gov locate local programs 24/7. For pregnant and parenting women, federally funded Pregnant and Postpartum Women (PPW) programs provide specialized residential and outpatient care that allows children on-site. Medication-assisted treatment (MAT) is the standard for opioid use disorder, and family drug courts offer treatment-based alternatives to losing custody. This directory aggregates each state's single state agency for SUD, women-specific treatment, MAT providers, and recovery meetings.
Washington superior courts handle family matters in each of its 39 counties. The Division of Child Support operates under DSHS. Seattle, Spokane, Tacoma, Vancouver, and Bellevue are the major metros. Northwest Justice Project, the King County Bar, and the Washington State Coalition Against Domestic Violence (WSCADV) provide statewide civil legal aid and safety services for women.
WA Recovery Help Line at 866-789-1511 (operated by Crisis Connections in Olympia) is the state's free 24/7 substance use treatment locator — counselors book intake appointments while you're on the line and know which programs accept Apple Health. info@crisisconnections.org.
866-789-1511 · PO Box 689, Olympia, WA 98507 · 24/7 · Visit Website
Therapeutic Health Services at 1116 Summit Ave in Seattle provides outpatient SUD treatment, methadone and Suboxone MAT, and women-specific programming. Sliding scale; Medicaid. 206-323-0930 Mon-Fri 7am-7pm.
206-323-0930 · 1116 Summit Ave, Seattle, WA 98101 · Mon-Fri 7am-7pm
Sundown M Ranch at 2280 State Route 821 in Selah is one of Washington's oldest residential SUD treatment programs, with separate women's and men's tracks 28+ days. Insurance, private pay, and some scholarship beds. 509-457-0990 24/7 intake.
509-457-0990 · 2280 State Route 821, Selah, WA 98942 · 24/7
Pioneer Human Services at 7440 W Marginal Way S in Seattle runs SUD treatment integrated with re-entry support, employment, and supportive housing for women coming out of incarceration. 206-766-7000 Mon-Fri 8am-5pm.
206-766-7000 · 7440 W Marginal Way S, Seattle, WA 98108 · Mon-Fri 8am-5pm · Visit Website
Evergreen Manor at 2715 Rockefeller Ave in Everett offers Snohomish County residential and outpatient SUD treatment with specific programming for pregnant women and moms with infants — childcare available during outpatient sessions. 425-259-2827 Mon-Fri 8am-5pm.
425-259-2827 · 2715 Rockefeller Ave, Everett, WA 98201 · Mon-Fri 8am-5pm
Spokane Falls Recovery (SFR) at 1508 W 6th Ave in Spokane runs detox, residential, outpatient, and MAT for adult women across eastern Washington. 24/7 intake at 509-444-7415; Medicaid and most insurance accepted.
509-444-7415 · 1508 W 6th Ave, Spokane, WA 99204 · 24/7 intake
MultiCare Tacoma Detox at 1708 S Yakima Ave provides medical detox from alcohol, opioids, and benzodiazepines plus warm referral to ongoing treatment. 24/7 admission via 253-502-5800; most insurance.
253-502-5800 · 1708 S Yakima Ave, Tacoma, WA 98405 · 24/7 · Visit Website
Recovery Cafe at 2022 Boren Ave in Seattle is a peer-run recovery community providing free meals, recovery circles, school-of-recovery classes, and community for women rebuilding sober lives. Donation-based; no fees. 206-374-8731 Mon-Sat 8am-4pm.
206-374-8731 · 2022 Boren Ave, Seattle, WA 98121 · Mon-Sat 8am-4pm · Visit Website
Klickitat County Health Department at 228 W Main St in Goldendale runs rural SUD treatment referrals, MAT coordination with Tri-Cities providers, and the county Drug Court support. 509-773-4612 Mon-Fri 8am-4:30pm.
509-773-4612 · 228 W Main St, Goldendale, WA 98620 · Mon-Fri 8am-4:30pm · Visit Website
FindTreatment.gov is SAMHSA's federal locator filtering Washington facilities by Apple Health acceptance, MAT availability, women-only tracks, and pregnancy-friendly programs. Live staff at 1-800-662-HELP.
Nationwide · Online · Visit Website
Washington has 50+ AA Districts statewide with hundreds of weekly meetings — daily online, women-only, young people's, and rural in-person. The meeting finder at aa.org defaults to your location.
Nationwide · Online · Visit Website
NA's Pacific Cascade region covers western Washington with weekly meetings in Seattle, Tacoma, and Olympia; eastern Washington has its own Spokane area. Free; locator at na.org.
Nationwide · Online · Visit Website
SMART Recovery hosts free online meetings 24/7 plus in-person groups in Seattle, Tacoma, and Spokane — secular CBT-based alternative to 12-step for Washington women who prefer that framework.
Nationwide · Online · Visit Website
Women for Sobriety runs online and phone meetings specifically for women using their 13 Acceptance Statements. Helpful for Washington women in rural counties without in-person women's AA.
Nationwide · Online · Visit Website
Al-Anon's Washington chapter meets weekly in most counties for women whose loved ones drink. The Lifeline phone-meeting list helps moms with night childcare conflicts.
Nationwide · Online · Visit Website
Nar-Anon supports family and friends of people with drug addiction. Washington in-person meetings in Seattle, Tacoma, and Spokane; online meetings 24/7 at nar-anon.org.
Nationwide · Online · Visit Website
Shatterproof's ATLAS treatment-quality tool rates Washington addiction programs on evidence-based criteria — useful when choosing between a residential program and outpatient MAT.
Nationwide · Online · Visit Website
Faces and Voices of Recovery supports Washington's Recovery Community Organizations like the Recovery Cafe Network, helping women in recovery access peer support and advocacy.
Nationwide · Online · Visit Website