12 Best Rehab Centers for Native Americans

Many Native-focused rehab programs integrate traditional healing practices with evidence-based therapies to support recovery on physical, emotional, and spiritual levels. Across the U.S., specialized rehab centers serve Native American and Alaska Native individuals by honoring tribal traditions, addressing intergenerational trauma, and promoting holistic wellness.  These programs often blend counseling, cultural ceremonies, and community connection to support long-term healing.

1. American Indian Changing Spirits Recovery Program — Long Beach, California

American Indian Changing Spirits Recovery Program provides culturally rooted residential addiction treatment for Native American adults seeking recovery from substance use disorders.

The program combines clinical counseling with Indigenous healing traditions to address both emotional and spiritual aspects of addiction.

Clients participate in group therapy, relapse-prevention education, and culturally informed programming that strengthens identity and community connection.

Traditional practices, including talking circles and cultural teachings, are woven throughout the recovery process and guided by staff experienced in Native behavioral health.

The program is well-established in Southern California and widely respected for its culturally affirming approach. Its long-standing service to Native communities and strong local reputation contribute to its trust and credibility.

Address: 2120 W Williams St, Long Beach, CA 90810
Phone: (562) 388-8118
Website: americanindianchangingspirits.org

2. Central Valley Indian Health — Fresno, California

Central Valley Indian Health offers outpatient behavioral health and addiction services designed specifically for Native American individuals and families.

Addiction treatment is delivered through a culturally responsive framework that recognizes historical trauma and community-based healing.

Services include individual and family counseling, substance use treatment, relapse-prevention planning, and wellness education. Providers integrate traditional values with modern therapeutic approaches to support emotional balance and long-term recovery.

Central Valley Indian Health is part of a respected tribal health organization and is known for accessible care through in-person and telehealth services. Its strong community ties and federally supported health structure reinforce the center’s trust and accountability.

Address: 2740 Herndon Ave, Clovis, CA 93611
Phone: (559) 299-2608
Website: cvihs.org

3. Friendship House Association of American Indians — San Francisco, California

Friendship House Association of American Indians provides residential and outpatient addiction treatment grounded in Native cultural values.

Serving Indigenous adults from tribes across the country, the program focuses on healing substance use disorders through community support and cultural reconnection.

Treatment includes counseling, group therapy, relapse-prevention education, and culturally guided services such as talking circles and spiritual support. Emphasis is placed on accountability, belonging, and rebuilding healthy relationships.

Founded in 1958, Friendship House is one of the oldest Native-focused recovery organizations in the U.S. Its longevity, state licensure, and strong reputation in the Bay Area make it a trusted option for culturally informed care.

Address: 56 Julian Ave, San Francisco, CA 94103
Phone: (415) 865-0964
Website: friendshiphousesf.org

4. Healing Lodge of the Seven Nations — Spokane, Washington

Healing Lodge of the Seven Nations is a residential treatment center serving Native American adolescents and young adults ages 13–24. Operated by the Spokane Tribe, the program blends clinical care with cultural mentorship and traditional healing.

Clients receive counseling, academic support, trauma-informed therapy, and cultural services such as drumming, sweat lodges, and elder guidance. The program focuses on identity development, resilience, and long-term recovery.

Healing Lodge is tribally operated, state licensed, and nationally recognized for its culturally specific youth recovery model.

Address: 5600 E 8th Ave, Spokane, WA 99212
Phone: (509) 533-6910
Website: hlsevennations.org

5. Native American Connections — Phoenix, Arizona

Native American Connections operates residential and outpatient treatment programs that integrate clinical addiction care with Native traditions.

Programs address substance use, trauma, and co-occurring mental health conditions through a holistic framework.

Clients receive counseling, mental health support, and wellness services while participating in cultural practices such as sweat lodges, smudging ceremonies, and talking circles.

The organization emphasizes restoring balance through cultural identity and community engagement.

Native American Connections is widely recognized in Arizona for its culturally grounded services and strong community partnerships. Its long-standing presence and positive reputation within Native communities support its credibility.

Address: 3216 N 3rd St, Phoenix, AZ 85012
Phone: (602) 424-2060
Website: nativeconnections.org

6. Native American Rehabilitation Association of the Northwest (NARA-NW) — Portland, Oregon

NARA-NW provides comprehensive addiction and mental health treatment for Native American and Alaska Native individuals and families. Programs include residential and outpatient care supported by traditional healing and community involvement.

Services include individual therapy, group counseling, cultural activities, and family support. Youth programs may also incorporate equine-assisted therapy and educational services. The organization extends care beyond treatment by offering housing, healthcare, and social support.

NARA-NW is a well-established nonprofit with decades of service in the Pacific Northwest and is widely regarded for its integrated, culturally competent model of care.

Address: 211 SE Caruthers St, Portland, OR 97214
Phone: (503) 224-1044
Website: naranorthwest.org

7. Northwest Indian Treatment Center — Elma, Washington

Operated by the Squaxin Island Tribe, this rehab center offers residential addiction treatment for adults with substance abuse and co-occurring mental health disorders. The program emphasizes Indigenous healing alongside trauma-informed counseling.

Clients engage in traditional practices such as drumming, sweat lodges, storytelling, and cultural meals, paired with relapse-prevention education and group therapy. Daily structure and community involvement support accountability and long-term recovery.

As a tribally operated and state-authorized facility, Northwest Indian Treatment Center is trusted for its culturally authentic approach and consistent standards of care.

Address: 308 E Young St, Elma, WA 98541
Phone: (360) 482-2674
Website: squaxinisland.org

8. Royal Life Centers — Spokane Heights, Washington

Royal Life Centers offers a Wellbriety-certified treatment track specifically designed for Native American clients. This culturally adapted program blends Indigenous teachings with evidence-based addiction treatment.

Clients participate in ceremonies, talking circles, and culturally guided recovery practices alongside clinical therapies for substance use and mental health conditions. The Spokane Heights campus provides detox, residential treatment, and continuing care options.

Royal Life Centers holds national accreditation and maintains strong ratings across review platforms. Its Wellbriety certification and clinical oversight contribute to its authority in Native-focused recovery care.

Address: 524 E Francis Ave, Spokane, WA 99208
Phone: (888) 907-0898
Website: royallifecenters.com

9. Safe and Sound Treatment (Generation Red Road Program) — Costa Mesa, California

Safe and Sound Treatment partners with Generation Red Road to offer culturally informed addiction treatment for Native American clients. The program integrates evidence-based therapies with Indigenous spiritual practices.

Treatment may include CBT, DBT, counseling, prayer, smudging, and ceremonial support, all delivered by culturally competent staff. Programs are individualized to support sobriety, emotional balance, and reconnection with tribal identity.

Safe and Sound Treatment is licensed in California and has earned positive reviews for its inclusive and respectful approach to culturally responsive care.

Address: 3151 Airway Ave, Ste L2, Costa Mesa, CA 92663
Phone: (949) 506-4587
Website: safesoundtreatment.com

10. Seven Arrows Recovery — Elfrida, Arizona

Seven Arrows Recovery offers residential addiction treatment that blends Native American spirituality with modern clinical care. Located on expansive desert land, the program provides a peaceful setting for reflection and healing.

Clients participate in sweat lodges, equine-assisted therapy, mindfulness practices, and traditional ceremonies while receiving counseling and trauma therapy. The program emphasizes whole-person healing that aligns cultural values with recovery science.

Seven Arrows Recovery is well known for its culturally integrated model and has earned strong reviews for its supportive environment and experienced clinical team.

Address: 2491 W Jefferson Rd, Elfrida, AZ 85610
Phone: (866) 986-2550
Website: sevenarrowsrecoveryarizona.com

11. Thunderbird Treatment Center (Seattle Indian Health Board) — Seattle, Washington

Thunderbird Treatment Center provides inpatient addiction treatment for urban Native American populations using a culturally guided, trauma-informed model. The program focuses on opioid and substance use disorders while promoting cultural restoration.

Clients receive clinical therapy, wellness education, and cultural services that strengthen identity and community connection. Thunderbird is operated by the Seattle Indian Health Board, a trusted Native-led healthcare organization.

The program’s integration with tribal health services and long-standing community trust reinforce its credibility and authority.

Address: Seattle, WA (new Vashon Island campus opening)
Phone: (206) 324-9360
Website: sihb.org

12. Tule River Alcoholism Program — Porterville, California

Tule River Alcoholism Program is a tribally operated outpatient recovery program serving members of the Tule River Tribe and surrounding communities. Treatment is grounded in cultural traditions and community-based support.

Services include counseling, relapse-prevention education, family involvement, and traditional ceremonies that promote balance and spiritual healing. The program emphasizes accountability, connection, and long-term wellness.

As a tribal program, TRAP is deeply trusted within its community and reflects a culturally authentic approach to recovery.

Address: 1012 N Reservation Rd, Porterville, CA 93257
Phone: (559) 781-8797
Website: tulerivertribe-nsn.gov/trap/

What Is Addiction Treatment Like At Native American Rehab Centers?

Rehab centers serving Native American and Alaska Native individuals often take a more holistic approach than traditional addiction treatment programs. 

Care is typically designed to honor cultural identity, spirituality, and community alongside clinical recovery.

Many programs integrate evidence-based therapies with Indigenous healing traditions, recognizing the role of historical trauma, loss of connection, and systemic barriers in substance use. Treatment environments tend to emphasize respect, belonging, and balance rather than punishment or stigma.

While services vary by program and tribe, Native-focused rehab centers may include:

• Traditional ceremonies such as sweat lodges, smudging, or drumming
• Individual and group counseling rooted in trauma-informed care
• Talking circles and peer support that strengthen community connection
• Spiritual guidance and cultural education
• Holistic therapies like equine-assisted therapy, mindfulness, or nature-based healing

Together, these elements create a recovery experience that supports sobriety while helping individuals reconnect with their heritage and sense of purpose.

Tips For Choosing A Rehab Center For Native Americans

Choosing a rehab center is an important decision, and for Native Americans, cultural respect and holistic care are essential parts of that choice.

Not every addiction treatment program is equipped to support Indigenous identity, spirituality, and the long-term effects of historical and intergenerational trauma.

The most effective programs combine clinical treatment with cultural understanding, creating a space where healing can occur without disconnecting from heritage or community.

A culturally responsive rehab center should honor tradition while still offering professional, evidence-based care.

When comparing rehab centers for Native Americans, look for programs that offer:

• Culturally grounded services that reflect tribal values and traditions
• Licensed clinicians trained in both addiction treatment and cultural competence
• Accreditation or state authorization that ensures quality and safety
• Holistic care addressing mental, physical, and spiritual health
• Clear aftercare planning that supports ongoing recovery and community connection

The right program can help build resilience, restore balance, and support lasting sobriety in a respectful, culturally informed environment.

Our Selection Criteria for Native American Rehab Centers

Selecting rehab centers for Native American communities requires more than evaluating clinical services alone. Our goal was to highlight programs that thoughtfully integrate cultural healing with professional addiction treatment.

We focused on treatment centers that demonstrate respect for Indigenous traditions while maintaining strong clinical standards. Each program was reviewed for its ability to support recovery in a way that honors identity, community, and long-term wellness.

Centers included on this list were evaluated based on the following criteria:

• Licensing and accreditation: Verified state licensure or accreditation through recognized organizations to ensure safety and ethical care
• Cultural competence: Staff experience working with Native populations and understanding historical and intergenerational trauma
• Integrated treatment models: A balance of counseling, trauma-informed care, cultural practices, and aftercare support
• Transparency: Clear communication about services, eligibility, and costs
• Community trust: Established reputation, longevity, or tribal affiliation demonstrating accountability and respect

These standards help identify programs where cultural reconnection and clinical recovery work together to support healing with dignity and integrity.

Next Steps in Finding a Rehab Center for Native Americans

Finding the right rehab program is a personal process, and taking time to explore your options can make a meaningful difference in recovery outcomes.

Each individual’s needs, tribal background, and recovery goals are unique, so it’s important to find a program that feels both clinically appropriate and culturally respectful.

Start by contacting treatment centers directly to ask about daily structure, staff credentials, cultural programming, and how traditional practices are incorporated into care. Practical details also matter. Be sure to ask about insurance coverage, waitlists, transportation assistance, and aftercare services.

If you’re supporting a loved one, involving family or community members in the decision-making process can be helpful. You may also continue browsing this directory to explore additional rehab centers that align with your cultural values, location, and level of care needed.

Written by the Addiction Resource Editorial Staff