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Best Alcohol and Drug Rehab TX in Columbus, TX

If you’re looking to help yourself or someone you love struggling with substance abuse issues in Columbus, TX, Rehabs.com houses a comprehensive online database of inpatient clinics, as well as a host of other choices. We can support you in finding drug and alcohol abuse care centers for a variety of addictions. Search for a high-quality rehab center in Columbus now, and get moving on the path to sobriety.

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Treatment Centers within 120 miles of Columbus, TX

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Greenhouse Treatment Center
1171 107th Street Grand Prairie, TX 75050
Telehealth
Outpatient Services
Detox Services
Dual-Diagnosis Treatment
Residential Treatment
Intensive Outpatient Services

More Treatment Centers within 120 miles of Columbus, TX

Cypress Creek Hospital
17750 Cali Drive Houston, TX 77090
- 72 Miles Away
Christian Farms-Treehouse, Inc. (CFTH)
3804 Riverside Trail Temple, TX 76513
- 102 Miles Away
River City Rehabilitation Center, Inc.
680 Stonewall Street San Antonio, TX 78214
- 117 Miles Away
Lifetime Recovery, Inc.
10290 Southton Road San Antonio, TX 78223
- 113 Miles Away
The Texas House
2208 West 34th Street Houston, TX 77018
- 70 Miles Away
Bay Area Recovery Center - Women's Facility
3111 Yupon Dickinson, TX 77539
- 94 Miles Away
Texas Star Recovery
1106 West Dittmar Road Austin, TX 78745
- 78 Miles Away
Memorial Hermann Prevention and Recovery Center (PaRC)
3043 Gessner Houston, TX 77080
- 65 Miles Away
Bay Area Recovery Center - Outpatient Facility
506 West NASA Parkway Webster, TX 77598
- 89 Miles Away
Lakeview Health at The Woodlands
2610 Technology Forest Blvd The Woodlands, TX 77381
- 72 Miles Away
Bay Area Recovery Center - Men's Facility
1807 FM 517 Road E Dickinson, TX 77539
- 94 Miles Away
Houston Behavioral Healthcare Hospital
2801 N. Gessner Road Houston, TX 77080
- 65 Miles Away
Passages for Women
7722 Westview Dr Houston, TX 77055
- 66 Miles Away
New Season San Antonio Treatment Center
3701 West Commerce Street San Antonio, TX 78207
- 118 Miles Away
BRC Recovery
11503 Parsons Rd Manor, TX 78653
- 68 Miles Away
Laurel Ridge Treatment Center
17720 Corporate Woods Drive San Antonio, TX 78259
- 110 Miles Away
Alpha Home
419 E Magnolia St. San Antonio, TX 78212
- 115 Miles Away
Tri-County Behavioral Healthcare
233 Sgt. Ed Holcomb Blvd. Conroe, TX 77304
- 77 Miles Away
Aspire Behavioral Health Hospital
2006 South Loop 336 West Conroe, TX 77304
- 77 Miles Away
The Center for Success and Independence
3722 Pinemont Drive Houston, TX 77018
- 70 Miles Away
Santa Maria Hostel
2605 Parker Road Houston, TX 77093
- 76 Miles Away
Best Recovery Health Care
9211 South Main Street Houston, TX 77025
- 70 Miles Away
New Dimensions Day Treatment Centers
1345 Space Park Dr. Ste. C Houston, TX 77058
- 91 Miles Away
Last Resort Recovery Center
1620 FM 535 Smithville, TX 78957
- 41 Miles Away
Bluebonnet Trails Community Services Bluebonnet Trails Recovery
275 Jackson Street Bastrop, TX 78602
- 51 Miles Away
Renewal Lodge by Burning Tree
122 Fisher Street Elgin, TX 78621
- 60 Miles Away
Symetria Recovery College Station
1651 Rock Prairie Road College Station, TX 77845
- 61 Miles Away
Bluebonnet Trails Community Services Bluebonnet Trails Recovery
2060 South Colorado Lockhart, TX 78644
- 62 Miles Away
Symetria Recovery Houston
17347 Village Green Drive Houston, TX 77040
- 65 Miles Away
Toxicology Associates Inc
6910 Bellaire Boulevard Suite 13 Houston, TX 77074
- 65 Miles Away
Spirit Mind and Body Behavioral Health Services PLLC
6776 SW Freeway Suite 540 Houston, TX 77074
- 66 Miles Away
Adult Rehabilitation Services
6624 Hornwood Street Houston, TX 77074
- 66 Miles Away
Treatment Associates Medical
107 Cozzi Circle Victoria, TX 77901
- 66 Miles Away
Santa Maria Hostel Inc
2005 Jacquelyn Street Houston, TX 77055
- 66 Miles Away
Texas Clinic Westview
9320 Westview Drive Houston, TX 77055
- 66 Miles Away
Texas Prevention Network Inc
10103 Fondren Road Houston, TX 77096
- 67 Miles Away
Billy T Cattan Recovery Outreach
802 East Crestwood Drive Victoria, TX 77901
- 67 Miles Away
Odyssey House Texas Inc
5629 Grapevine Street Houston, TX 77085
- 68 Miles Away
Texas Treatment Centers Inc
4800 West 34th Street Suite B-3 Houston, TX 77092
- 68 Miles Away
Volunteers of America Texas Inc
4808 Yale Street Houston, TX 77018
- 70 Miles Away
Sobriety Matters
513 Thornton Road Houston, TX 77018
- 70 Miles Away
Phoenix Houses of Texas Inc
2525 North Loop West Houston, TX 77008
- 71 Miles Away
Institute of Chem Dependency Studies
1235 North Loop West Houston, TX 77008
- 71 Miles Away
Avenue 360 Health and Wellness Recovery Support Services
2150 West 18th Street Houston, TX 77008
- 71 Miles Away
Center for Recovering Families at The Council on Alcohol Drugs Houston
303 Jackson Hill Street Houston, TX 77007
- 72 Miles Away
Montrose Center
401 Branard Street Houston, TX 77006
- 72 Miles Away
Toxicology Associates Inc
4405 Caroline Street Houston, TX 77004
- 73 Miles Away
Bay Area Recovery Center
2915 South Sam Houston Parkway East Houston, TX 77047
- 73 Miles Away
Set Free DAT Center
3333 Fannin Street Suite 111 Houston, TX 77004
- 73 Miles Away
BES Group and Associates Solutions Plus
4625 North Freeway Houston, TX 77022
- 73 Miles Away
Toxicology Associates Inc North Belt Clinic
530 North Sam Houston Parkway East Houston, TX 77060
- 73 Miles Away
Career and Recovery Resources Inc Drug Abuse Treatment Program
2525 San Jacinto Street Houston, TX 77002
- 73 Miles Away
Veterans Administration Austin Outpatient Clinic
7901 Metropolis Drive Austin, TX 78744
- 74 Miles Away
L-H Transitional Center Inc
2410 Caplin Street Houston, TX 77026
- 75 Miles Away
Integral Care CARE Program Journey OTP
1165 Airport Boulevard Austin, TX 78702
- 76 Miles Away
Integral Care Ambulatory Detoxification
1165 Airport Boulevard Austin, TX 78702
- 76 Miles Away
Integral Care (ATCIC)/Oak Springs Treatment Center
1165 Airport Boulevard Austin, TX 78702
- 76 Miles Away
Integral Care Narcotic Treatment Program
1631 East 2nd Street Austin, TX 78702
- 76 Miles Away
Arbor Intensive Outpatient
6448 Highway 290 East Austin, TX 78723
- 76 Miles Away
Cheyenne Center Inc
2620 East Crosstimbers Street Houston, TX 77093
- 76 Miles Away
Taylor Recovery Center Intensive Outpatient Program
5715 Lavender Street Houston, TX 77026
- 76 Miles Away
Unlimited Visions Aftercare Inc
5527 Lawndale Street Houston, TX 77023
- 77 Miles Away
MK Center Houston
11200 Broadway Street Pearland, TX 77584
- 77 Miles Away
Addiction & Psychotherapy Services
2824 South Congress Avenue Austin, TX 78704
- 77 Miles Away
Everyday Life Inc
6955 Broach Road Bryan, TX 77808
- 77 Miles Away
Austin Recovery Outpatient
4201 South Congress Avenue Suite 202 Austin, TX 78745
- 77 Miles Away
Positive Recovery Center/Conroe IOP PRC Conroe IOP
5452 Highway 105 Conroe, TX 77304
- 77 Miles Away
Phoenix House
400 West Live Oak Street Austin, TX 78704
- 77 Miles Away
Clean Investments Inc Counseling Center
1212 East Anderson Lane Austin, TX 78752
- 77 Miles Away
Embracia Health
503 West 41st Street Austin, TX 78751
- 78 Miles Away
Austin Changes Counseling and Education Services
5555 North Lamar Boulevard Austin, TX 78751
- 78 Miles Away
Phoenix House Outpatient
400 West Live Oak Street Austin, TX 78704
- 78 Miles Away
Alliance Risk Group LLC DBA Gateway to Sobriety
7445 Park Place Boulevard Houston, TX 77087
- 78 Miles Away
Positive Recovery Services New Roads Outpatient Services
4701 Westgate Boulevard Austin, TX 78745
- 78 Miles Away
Maintenance and Recovery Services Inc DBA Comm Med Servs/Austin on Wm Cannon
1110 West William Cannon Drive Austin, TX 78745
- 78 Miles Away
Houston Substance Abuse Clinic
7428 Park Place Boulevard Houston, TX 77087
- 78 Miles Away
Symetria Recovery Spring
635 Rayford Road Spring, TX 77386
- 78 Miles Away
Maintenance And Recovery Services Inc. (MARS)
305 Ferguson Drive Austin, TX 78753
- 78 Miles Away
Agape Substance Abuse Program
9001 Airport Boulevard Houston, TX 77061
- 79 Miles Away
La Haciendas Solutions
11110 Metric Boulevard Austin, TX 78758
- 80 Miles Away
Guadalupe Valley Hospital - Tbc-Mental Health Services
1215 East Court Street Seguin, TX 78155
- 81 Miles Away
Phoenix Houses of Texas Inc Round Rock Location
211 Commerce Boulevard Round Rock, TX 78664
- 82 Miles Away
Gulf Coast Center Angleton Recovery Program
101 Tigner Street Angleton, TX 77515
- 82 Miles Away
Cenikor Foundation
2410 West Howard Lane Austin, TX 78728
- 82 Miles Away
TRS Behavioral Care Inc Right Step Houston Central
12350 Wood Bayou Drive Houston, TX 77013
- 82 Miles Away
Self Recovery
4807 Spicewood Springs Road Austin, TX 78759
- 82 Miles Away
Pasadena Substance Abuse Clinic I
1645 Pasadena Boulevard Pasadena, TX 77502
- 84 Miles Away
Houston Treatment Center Inc
1050 Edgebrook Drive Houston, TX 77034
- 84 Miles Away
Santa Maria Hostel Inc Alvin Location
713 West Adoue Street Alvin, TX 77511
- 85 Miles Away
Adapt Programs LLC
717 West Sealy Alvin, TX 77511
- 85 Miles Away
Northshore Treatment Center
176 Uvalde Road Houston, TX 77015
- 85 Miles Away
Northwest Counseling and Wellness Ctr
12335 Hymeadow Drive Austin, TX 78750
- 86 Miles Away
Unlimited Visions Aftercare Inc
907 Preston Street Pasadena, TX 77503
- 86 Miles Away
River City Rehabilitation Center Inc New Braunfels
1149 South Academy Avenue New Braunfels, TX 78130
- 88 Miles Away
Watershed at Clear Lake Inc
9 Professional Park Drive Webster, TX 77598
- 90 Miles Away
Into Action Recovery Center Inc Outpatient
17337 El Camino Real Houston, TX 77058
- 90 Miles Away
Bay Area Recovery Center
1100 Hercules Avenue Houston, TX 77058
- 90 Miles Away
Adapt Programs LLC
210 West 1st Street Freeport, TX 77541
- 93 Miles Away
Bay Area Recovery Center
2523 44th Street Dickinson, TX 77539
- 96 Miles Away
Memorial Hermann Prevention and Recovery Center/Baytown
3722 North Main Street Baytown, TX 77521
- 98 Miles Away
Gulf Coast Center Adolescents in Recovery
3201 FM 2004 Texas City, TX 77591
- 99 Miles Away
Pathway To Recovery
1224 Linton Drive La Marque, TX 77568
- 101 Miles Away
Cenikor Foundation
416A North 3rd Street Temple, TX 76501
- 101 Miles Away
West Texas Counseling and Rehabilitation Program of Temple
2610 Exchange Place Temple, TX 76504
- 103 Miles Away
Adapt Programs LLC
1228 North Logan Street Texas City, TX 77590
- 103 Miles Away
Crossroads Treatment Center of San Antonio PLLC
5121 Crestway Drive San Antonio, TX 78239
- 106 Miles Away
Care Counseling Services Cenikor Foundation
4520 East Central Texas Expressway Killeen, TX 76542
- 110 Miles Away
CPT Jennifer Moreno Care Clinic Joint Base San Antonio
3100 Schofield Road JBSA Ft Sam Houston, TX 78234
- 111 Miles Away
Bluebonnet Trails Community Services Bluebonnet Trails Recovery
4606 Innovation Loop Marble Falls, TX 78654
- 112 Miles Away
Bluebonnet Trails Community MH/MR Ctr
1800 Colt Circle Marble Falls, TX 78654
- 112 Miles Away
Galveston Recovery Program
123 Rosenberg Street Galveston, TX 77550
- 113 Miles Away
Alcoholic Rehabilitation Center
10290 Southton Road San Antonio, TX 78223
- 113 Miles Away
AAMA
248 Post Avenue San Antonio, TX 78215
- 114 Miles Away
Alamo City Treatment Services
12042 Blanco Road San Antonio, TX 78216
- 114 Miles Away
Mars SA LLC/DBA Community Med Servs San Antonio on McCarty
437 McCarty Road San Antonio, TX 78216
- 114 Miles Away
Alpha Home Inc
300 East Mulberry Avenue San Antonio, TX 78212
- 115 Miles Away
Alcohol and Drug Treatment Associates
701 San Pedro Avenue San Antonio, TX 78212
- 115 Miles Away
Best Option LLC
3700 Fredericksburg Road San Antonio, TX 78201
- 117 Miles Away
Lifetime Recovery Treatment Center Outpatient Servs
96 Crossroads Boulevard San Antonio, TX 78201
- 117 Miles Away
Elite Counseling Deborah Judith Inc
700 South Zarzamora Street San Antonio, TX 78207
- 117 Miles Away
Alamo Area Resource Center Inc
303 North Frio Street San Antonio, TX 78207
- 117 Miles Away
Center for Healthcare Services Methadone Services
601 North Frio Street San Antonio, TX 78207
- 117 Miles Away
A Turning Point Counseling and Rehab Center
3201 Cherry Ridge San Antonio, TX 78230
- 118 Miles Away
Texas Treatment Services LLC DBA STOP SA
3780 NW Loop 410 San Antonio, TX 78229
- 119 Miles Away

Rehabs in Texas Cities

AbileneAddisonAdkinsAlamoAledoAliceAllenAlpineAlvaradoAlvinAmarilloAnahuacAndrewsAngletonAnnaAnthonyAransas PassArgyleArlingtonAtascosaAthensAtlantaAubreyAustinAzleBacliffBalch SpringsBallingerBanderaBastropBay CityBaytownBeaumontBedfordBeevilleBellaireBellvilleBeltonBen WheelerBertramBig SandyBig SpringBlancoBoerneBonhamBorgerBowieBoydBradyBrazoriaBreckenridgeBrenhamBridge CityBridgeportBrookshireBrownfieldBrownsvilleBrownwoodBryanBudaBuffaloBullardBulverdeBunaBurkburnettBurlesonBurnetCaddo MillsCaldwellCameronCantonCanutilloCanyon LakeCanyonCarrizo SpringsCarrolltonCarthageCastrovilleCedar CreekCedar HillCedar ParkCelinaCenterChandlerChannelviewChildressChina SpringCiboloCiscoClarksvilleCleburneClevelandCliftonClintCluteClydeColdspringColemanCollege StationColleyvilleColorado CityColumbusComancheComfortCommerceConroeConverseCoppellCopperas CoveCorpus ChristiCorsicanaCotullaCrockettCrosbyCrowleyCrystal CityCueroCypressDaingerfieldDaleDalhartDallasDaytonDe KalbDecaturDeer ParkDel RioDel ValleDenisonDentonDenver CityDesotoDevineDibollDickinsonDimmittDonnaDripping SpringsDublinDumasDuncanvilleEagle LakeEagle PassEarlyEastlandEdcouchEdinburgEdnaEl CampoEl PasoElginElkhartElmendorfElsaEmoryEnnisEulessFabensFairfieldFalfurriasFarmersvilleFerrisFlintFloresvilleFlower MoundForneyFort HoodFort StocktonFort WorthFranklinFrankstonFredericksburgFreeportFresnoFriendswoodFrionaFriscoFritchFulshearGainesvilleGalena ParkGalvestonGarlandGatesvilleGeorgetownGiddingsGilmerGladewaterGlen RoseGoliadGonzalesGrahamGranburyGrand PrairieGrand SalineGrandviewGrapelandGrapevineGreenvilleGroesbeckGrovesHallettsvilleHallsvilleHaltom CityHamiltonHarker HeightsHarlingenHasletHawkinsHearneHebbronvilleHelotesHemphillHempsteadHendersonHenriettaHerefordHewittHidalgoHighlandsHillsboroHitchcockHockleyHondoHooksHorseshoe BayHoustonHuffmanHughes SpringsHumbleHuntingtonHuntsvilleHurstHutchinsHuttoInglesideIngramIowa ParkIrvingJacksboroJacksonvilleJasperJbsa Ft Sam HoustonJbsa LacklandJeffersonJoshuaJourdantonJustinKatyKaufmanKeeneKellerKemahKempKempnerKenedyKennedaleKermitKerrvilleKilgoreKilleenKingslandKingsvilleKingwoodKirbyvilleKountzeKrumKyleLa FeriaLa GrangeLa MarqueLa PorteLa VerniaLake DallasLake JacksonLamesaLampasasLancasterLaredoLeague CityLeanderLevellandLewisvilleLiberty HillLibertyLindaleLittle ElmLittlefieldLivingstonLlanoLockhartLongviewLorenaLos FresnosLoveladyLubbockLufkinLulingLumbertonLytleMabankMadisonvilleMagnoliaMalakoffManorMansfieldManvelMarble FallsMarionMarlinMarshallMathisMcAllenMcGregorMcKinneyMelissaMercedesMerkelMesquiteMexiaMidlandMidlothianMineolaMineral WellsMissionMissouri CityMonahansMontgomeryMoodyMount PleasantMount VernonMuleshoeNacogdochesNataliaNavasotaNederlandNeedvilleNew BostonNew BraunfelsNew CaneyNew WaverlyNewtonNoconaNolanvilleNorth Richland HillsOdemOdessaOlmitoOnalaskaOrange GroveOrangeOvertonPalaciosPalestinePampaParadiseParisPasadenaPearlandPearsallPecosPenitasPerrytonPflugervillePharrPilot PointPipe CreekPittsburgPlainviewPlanoPleasantonPort ArthurPort IsabelPort LavacaPort NechesPorterPortlandPostPoteetPottsboroPrairie ViewPresidioPrincetonProsperQuinlanQuitmanRaymondvilleRed OakRhomeRichardsonRichmondRio Grande CityRio HondoRoanokeRobstownRockdaleRockportRockwallRomaRosenbergRosharonRound RockRowlettRoyse CityRuskSachseSaladoSan AngeloSan AntonioSan AugustineSan BenitoSan DiegoSan ElizarioSan JuanSan MarcosSangerSanta FeSanta RosaSchertzSchulenburgSeabrookSeagovilleSealySeguinSeminoleShallowaterShepherdSheppard AfbShermanSilsbeeSintonSlatonSmithvilleSnyderSomersetSour LakeSouth HoustonSouthlakeSpicewoodSplendoraSpring BranchSpringSpringtownStaffordStephenvilleSugar LandSullivan CitySulphur SpringsSunnyvaleSweenySweetwaterTaftTaylorTeagueTempleTennessee ColonyTerrellTexarkanaTexas CityThe ColonyTomballTrinityTroupTuliaTylerUniversal CityUvaldeVan AlstyneVenusVernonVictoriaVidorVon OrmyWacoWallerWaskomWaxahachieWeatherfordWebsterWeslacoWest ColumbiaWestWhartonWhite OakWhitehouseWhitesboroWhitewrightWhitneyWichita FallsWillisWills PointWimberleyWinnieWinnsboroWolfforthWoodvilleWoodwayWylieYoakumZapata
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    More Info About Rehab in Columbus

    Latest Reviews

    Latest Reviews of Rehabs in Texas

    Lifetime Recovery, Inc.

    They seem very professional EXCEPT I COULD NEVER GET ANY STAFF TO RETURN A PHONE CALL ESPECIALLY ON THE WEEKEND

    - Phyllis
    5 out of 5
    San Antonio, TX

    Briarwood Detox

    I was in bad shape when I arrived but the staff were very supportive and made the whole experience much better.My nurse was especially caring and she is one of the reasons I successfully got sober. Thanks!

    - Brian
    5 out of 5
    Austin, TX

    Serenity House Detox

    Serenity House is an amazing environment focused on positive support to encourage long term recovery.

    - John M
    5 out of 5
    Houston, TX
    Meet the Pros
    Dean Sims (LCDC)
    Dean Sims (LCDC)
    Clinical Director
    AIM Recovery Center
    "To achieve lasting change, you have to change at the emotional level. It took me 20 years to realize this. I had gone through trial and error, attempt after attempt, and I got nowhere but depressed. In my mind, I wanted to change, but just couldn’t stick with it. Once I learned to address the underlying causes, my emotions no longer fought against my mind, and I was able to quit my own addictions, and stay quit. That’s the trick! I can teach you to do that too at AIM, and it won’t take 20 years! For me, there is nothing more rewarding than working with clients as they identify their core recovery issue. I help clients find their own life purpose and create a life vision for themselves; something more meaningful than using drugs or alcohol. I know my purpose is working with clients just like you at AIM. What’s your life purpose or vision for yourself? I’m intensely interested in finding out."
    Patrice Owens, M.ED, LCPC, LCDC,
    Patrice Owens, M.ED, LCPC, LCDC,
    Greenhouse Outpatient Director
    Greenhouse Outpatient Treatment Center
    Founder of The Advantage Group Foundation, Director Patrice Owens came to AAC as an incisive leader in the not-for-profit sector with proven creative problem-solving skills. Handling multiple key leadership functions, Owens oversaw 26 years of continuous growth for Advantage Group, a 501(C) (3) substance abuse outpatient and intensive treatment program for adolescents and young adults serving Chicago and surrounding communities. From inception to CARF Accreditation, Owens also took the community-based Foundation through the processes of state licensure and funding.
    Shannon Malish
    Shannon Malish
    CEO, LCSW
    Windmill Wellness Ranch
    Shannon has a Master's degree from the University of Texas San Antonio in social work with an emphasis in addiction counseling. She is experienced in leading and directing substance use disorder treatment facilities. Her undergraduate degree is in Business Management from Azusa Pacific University. She works closely with Clinical staff to provide Evidence Based Practice models to address co-occuring disorders. As the wife of a police officer and military veteran, Shannon takes a special interest in trauma resolution. Shannon uses an integrative approach with patients and their families. Strengths-Based Practice is used where the inherent strengths of a person or family are assessed and built upon to aid in recovery and empowerment. This perspective along with Family Systems Theory and Ecological Theory emphasize that environmental factors play a part in development. She believes that a holistic approach to recovery is necessary for growth of the individual. Additionally, Solution Focused Therapy, Motivational Interviewing, EDMR and Cognitive Behavioral Therapy are tools that she uses in her practice to be culturally competent to work with a diverse group of clients.
    Texas Treatment Facts

    Texas ranks 34th in treatment centers servicing/accepting access to Recovery (ATR) vouchers per 100,000 residents. One spot better is New York, ranked 33 in the U.S. One spot worse is New Jersey, ranked 35 in the U.S.

    When adjusted for population, Texas ranks 40th in treatment centers servicing/accepting IHS/638 contract care funds. Tennessee is ranked slightly better, ranked 39. Louisiana is ranked slightly worse, ranked 41.

    For no payment accepted clients, Texas ranks 45th in population-adjusted treatment centers. Arizona is ranked one spot better at spot 44. Oregon is just 1 spot worse, ranked 46 out of the United States.

    Texas is 46th among U.S. states in treatment centers servicing or accepting other treatment approaches. One spot better is Virginia, ranked 45 in the U.S. Delaware is ranked slightly worse, ranked 47.

    Texas ranks 48th in treatment centers servicing/accepting members of military families per 100,000 residents. Tennessee is ranked slightly better, ranked 47. Ohio is just 1 spot worse, ranked 49 out of the United States.

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