Treatment facilities
The National Directory had 13,435 substance use treatment listings for 2025, according to SAMHSA.
SAMHSA’s directories, 2025
- 13,435
- Substance use listings
The middle of the 52 places with a Census population has 4.5 substance use listings per 100,000 residents (with an even number of places, the average of the two middle places). The Factbook’s calculation
- 14,080
- Mental health listings
- 70.6%
- Offering medication for opioid use disorder
- 9,484 substance use listings.
- 1,590
- Opioid treatment programs
- Federally certified, as SAMHSA codes them.
About these figures
- Substance use listings
The middle of the 52 places with a Census population has 4.5 substance use listings per 100,000 residents (with an even number of places, the average of the two middle places). The Factbook’s calculation
- Offering medication for opioid use disorder
- 9,484 substance use listings.
- Opioid treatment programs
- Federally certified, as SAMHSA codes them.
What stands out
Five findings. From SAMHSA’s 2025 National Directories, each one counted from the directory’s rows.
SAMHSA’s 2025 directories list 13,435 substance use treatment facilities and 14,080 mental health facilities, across 55 states, territories and the District of Columbia; a facility in both directories is in both counts. The United States →
9,484 of the 13,435 substance use listings, 70.6%, offer medication for opioid use disorder: methadone, buprenorphine or naltrexone. The United States →
1,590 federally certified opioid treatment programs are among the substance use listings, as SAMHSA codes them in 2025. The United States →
Alaska and Maine have the most substance use listings per 100,000 residents, 10.6, and Texas the fewest, 1.4. Alaska and Maine →
In Hawaii, 19.6% of substance use listings offer medication for opioid use disorder, the lowest share; in New York, 93.2%, the highest. Hawaii →
What changed in this release
This is the hub’s first release, retrieved on October 17, 2026: 13,435 substance use treatment listings in SAMHSA’s directory in 2025.
Listings per resident, by state
Substance use treatment listings per 100,000 residents run from 1.4 in Texas to 10.6 in Alaska and Maine
Substance use treatment facilities in SAMHSA’s 2025 directory, per 100,000 residents of each state. The table gives each state’s share of them offering medication for opioid use disorder.
Key: Treatment listings per 100,000 residents. 5 shades, lightest to darkest: under 3.0; 3.0 to 4.0; 4.0 to 5.0; 5.0 to 6.0; 6.0 and over. gray: not reported.
Puerto Rico, 1.6 per 100,000, is in the table and the rankings and not drawn: the map is of the 50 states and DC.
A listing is a facility as SAMHSA lists it, not a measure of its capacity or quality, and a facility that did not answer SAMHSA’s voluntary survey is not listed.
Source: SAMHSA
About this chart
The figures
| State | Listings per 100,000 | Listings | Offering medication | Residents |
|---|---|---|---|---|
| Alaska | 10.6 | 78 | 59.0% | 737,270 |
| Maine | 10.6 | 150 | 74.7% | 1,414,874 |
| Kentucky | 9.7 | 448 | 77.0% | 4,606,864 |
| Wyoming | 8.8 | 52 | 80.8% | 588,753 |
| North Dakota | 8.4 | 67 | 49.3% | 799,358 |
| Vermont | 8.1 | 52 | 75.0% | 644,663 |
| Maryland | 8.0 | 502 | 79.1% | 6,265,347 |
| Utah | 7.9 | 278 | 69.8% | 3,538,904 |
| West Virginia | 7.7 | 136 | 86.0% | 1,766,147 |
| Iowa | 6.6 | 213 | 58.7% | 3,238,387 |
| Hawaii | 6.4 | 92 | 19.6% | 1,432,820 |
| Nebraska | 6.4 | 129 | 48.8% | 2,018,006 |
| Indiana | 6.3 | 436 | 70.0% | 6,973,333 |
| Montana | 6.3 | 72 | 38.9% | 1,144,694 |
| Arizona | 6.2 | 476 | 77.7% | 7,623,818 |
| Minnesota | 6.2 | 362 | 53.3% | 5,830,405 |
| New Mexico | 6.2 | 132 | 68.2% | 2,125,498 |
| New Hampshire | 5.9 | 83 | 89.2% | 1,415,342 |
| Idaho | 5.7 | 116 | 56.0% | 2,029,733 |
| Kansas | 5.2 | 156 | 67.3% | 2,977,220 |
| Massachusetts | 5.2 | 372 | 78.0% | 7,154,084 |
| Connecticut | 4.6 | 169 | 88.2% | 3,688,496 |
| Oregon | 4.6 | 198 | 67.2% | 4,273,586 |
| Tennessee | 4.6 | 334 | 73.1% | 7,315,076 |
| Illinois | 4.5 | 576 | 57.3% | 12,719,141 |
| Rhode Island | 4.5 | 50 | 74.0% | 1,114,521 |
| South Dakota | 4.5 | 42 | 42.9% | 935,094 |
| Arkansas | 4.4 | 138 | 78.3% | 3,114,791 |
| Colorado | 4.4 | 264 | 61.4% | 6,012,561 |
| North Carolina | 4.3 | 480 | 66.3% | 11,197,968 |
| Ohio | 4.3 | 516 | 82.6% | 11,900,510 |
| District of Columbia | 4.2 | 29 | 44.8% | 693,645 |
| Delaware | 4.2 | 44 | 75.0% | 1,059,952 |
| Missouri | 4.2 | 261 | 80.1% | 6,270,541 |
| Louisiana | 4.0 | 185 | 74.1% | 4,618,189 |
| Michigan | 4.0 | 407 | 63.4% | 10,127,884 |
| Pennsylvania | 4.0 | 524 | 77.9% | 13,059,432 |
| New Jersey | 3.7 | 357 | 81.2% | 9,548,215 |
| Oklahoma | 3.4 | 141 | 62.4% | 4,123,288 |
| Washington | 3.4 | 269 | 54.6% | 8,001,020 |
| Wisconsin | 3.4 | 205 | 59.0% | 5,972,787 |
| Mississippi | 3.3 | 98 | 59.2% | 2,954,160 |
| New York | 3.2 | 644 | 93.2% | 20,002,427 |
| Virginia | 3.2 | 283 | 81.3% | 8,880,107 |
| California | 3.0 | 1,186 | 67.8% | 39,355,309 |
| Nevada | 3.0 | 97 | 69.1% | 3,282,188 |
| Georgia | 2.5 | 278 | 64.7% | 11,302,748 |
| Florida | 2.3 | 539 | 74.4% | 23,462,518 |
| Alabama | 2.2 | 113 | 61.1% | 5,193,088 |
| South Carolina | 1.7 | 97 | 80.4% | 5,570,274 |
| Puerto Rico | 1.6 | 52 | 55.8% | 3,184,835 |
| Texas | 1.4 | 453 | 63.4% | 31,709,821 |
Listings by state
1 more column on a wider screen
| State | Substance use | Per 100,000 residents |
|---|---|---|
| Alabama | 113 | 2.2 |
| Alaska | 78 | 10.6 |
| Arizona | 476 | 6.2 |
| Arkansas | 138 | 4.4 |
| California | 1,186 | 3.0 |
| Colorado | 264 | 4.4 |
| Connecticut | 169 | 4.6 |
| Delaware | 44 | 4.2 |
| District of Columbia | 29 | 4.2 |
| Florida | 539 | 2.3 |
| Georgia | 278 | 2.5 |
| Guam | 3 | |
| Hawaii | 92 | 6.4 |
| Idaho | 116 | 5.7 |
| Illinois | 576 | 4.5 |
| Indiana | 436 | 6.3 |
| Iowa | 213 | 6.6 |
| Kansas | 156 | 5.2 |
| Kentucky | 448 | 9.7 |
| Louisiana | 185 | 4.0 |
| Maine | 150 | 10.6 |
| Maryland | 502 | 8.0 |
| Massachusetts | 372 | 5.2 |
| Michigan | 407 | 4.0 |
| Minnesota | 362 | 6.2 |
| Mississippi | 98 | 3.3 |
| Missouri | 261 | 4.2 |
| Montana | 72 | 6.3 |
| Nebraska | 129 | 6.4 |
| Nevada | 97 | 3.0 |
| New Hampshire | 83 | 5.9 |
| New Jersey | 357 | 3.7 |
| New Mexico | 132 | 6.2 |
| New York | 644 | 3.2 |
| North Carolina | 480 | 4.3 |
| North Dakota | 67 | 8.4 |
| Northern Mariana Islands | 1 | |
| Ohio | 516 | 4.3 |
| Oklahoma | 141 | 3.4 |
| Oregon | 198 | 4.6 |
| Pennsylvania | 524 | 4.0 |
| Puerto Rico | 52 | 1.6 |
| Rhode Island | 50 | 4.5 |
| South Carolina | 97 | 1.7 |
| South Dakota | 42 | 4.5 |
| Tennessee | 334 | 4.6 |
| Texas | 453 | 1.4 |
| U.S. Virgin Islands | 0 | |
| Utah | 278 | 7.9 |
| Vermont | 52 | 8.1 |
| Virginia | 283 | 3.2 |
| Washington | 269 | 3.4 |
| West Virginia | 136 | 7.7 |
| Wisconsin | 205 | 3.4 |
| Wyoming | 52 | 8.8 |
Rankings
Everything in this hub
Every page in this topic, by kind.
Rankings3
Each list ordered by one measure, with the figure behind every entry.
Compares51
States55
One page per state and the District of Columbia.
Counties
Each county with a listed facility, placed by ZIP code: every facility there. Listed by state.
Treatment facilities
Each facility in SAMHSA’s newest directory, with its services as it reports them. Listed by state.
Sources
- SAMHSA National Directories — substance use and mental health treatment facilities — Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality · SAMHSA public domain notice · retrieved October 17, 2026
Compiled automatically from SAMHSA National Directories — substance use and mental health treatment facilities by a checked SQL query · Editor: Kian O'Connor · How this site is built
How to cite this page
Cite the page’s address and the date printed on it, and name Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality as the source of the figures.
American Factbook. “Treatment facilities.” Updated October 17, 2026. https://americanfactbook.org/treatment. Source: SAMHSA National Directories — substance use and mental health treatment facilities, https://www.samhsa.gov/data/data-we-collect/n-sumhss-national-substance-use-and-mental-health-services-survey/national-directories.
Data retrieved